{"title":"Technical Note: “Remote” Transarterial Embolisation Technique of Lumbar Artery Type 2 Endoleaks with Onyx","authors":"R. Chung, R. Morgan","doi":"10.1016/j.ejvsextra.2014.02.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Lumbar arteries are a common cause of type 2 endoleaks. Standard transarterial embolisation and direct aneurysm sac puncture techniques are well described, but technical success of the former is frequently limited by tortuous and small communicating vessels, precluding microcatheter advancement into the endoleak nidus.</p></div><div><h3>Report</h3><p>We describe a technique of successful lumbar endoleak nidus embolisation from a remote arterial location with low viscosity Onyx, despite inability to physically catheterise the endoleak nidus.</p></div><div><h3>Discussion</h3><p>Onyx is a versatile embolic agent, and in conjunction with our described technique, should increase the technical success rates of these procedures.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"27 4","pages":"Pages e32-e33"},"PeriodicalIF":0.0000,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2014.02.002","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1533316714000053","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 5
Abstract
Introduction
Lumbar arteries are a common cause of type 2 endoleaks. Standard transarterial embolisation and direct aneurysm sac puncture techniques are well described, but technical success of the former is frequently limited by tortuous and small communicating vessels, precluding microcatheter advancement into the endoleak nidus.
Report
We describe a technique of successful lumbar endoleak nidus embolisation from a remote arterial location with low viscosity Onyx, despite inability to physically catheterise the endoleak nidus.
Discussion
Onyx is a versatile embolic agent, and in conjunction with our described technique, should increase the technical success rates of these procedures.