Page 37 - Virtual Vascular Vol 4
P. 37

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 Embolization
 coils



























 Glue































 Another endovascular reintervention method to treat persistent
 type II endoleaks after EVAR is by direct glue injection into the aneu-  Type II endoleak shown on CT
 rysm sac.  This X-ray showed  a patient with an AAA growing to huge   scan.  Treated by direct sac injec-
 proportions (yellow arrow shows aneurysm shadow) despite previ-       tion with N-butyl cyanoacrylate
                                                                       (NBCA) glue
 36  ous coil embolization of the IMA and glue injection into the sac.                                         37
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