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KMID : 1103720140710060310
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Journal of the Korean Society of Radiology
2014 Volume.71 No. 6 p.310 ~ p.313
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Endovascular Treatment of Type II Endoleak Following Thoracic Endovascular Aortic Repair for Thoracic Aortic Aneurysm: Case Report of Squeeze Technique to Reach the Aneurysmal Sac
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Kang Hyun-Jung
Kim Chang-Won
Lee Tae-Hong
Song Seung-Hwan
Lee Choong-Won
Chung Sung-Woon
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Abstract
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Type II endoleaks are common after thoracic endovascular aortic repair (TEVAR). Various strategies are introduced to manage type II endoleaks, such as the use of coils, plugs, or liquid embolic agents (histoacryl, thrombin, onyx, etc.) through a transarterial approach or a direct puncture of the aneurysmal sac. We herein report a case of a type II endoleak caused by reverse blood flow through intercostal artery after TEVAR which was successfully treated with n-butyl cyanoacrylate (histoacryl)-lipiodol mixture by a squeeze technique to reach the aneurismal sac using a microcatheter.
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KEYWORD
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Thoracic Aortic Aneurysm, Thoracic Endovascular Aortic Repair, Type II Endoleak
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