64-year-old male patient with infrarenal AAA (79 mm maximum diameter) ruptured and treated with EVAR. In CT angiography control one year later, contrast filling and growth of the aneurysm sac (84 mm maximum diameter). In MPRs and 3D reconstructions, intuited filling of the sac from the inferior mesenteric artery (type II endoleak). These findings They are confirmed with arteriography, and after selective catheterization this afferent is embolized.
CT angiography evaluation to detect the presence of arterial leak
3D that allows identifying the path of the afferent artery to the sac
Diagnostic arterigraphy
Selective arteriography performed with microcatheter and 0.016"guidewire
Contrast in selective arteriography
Application of contrast to detect the location of the leak
Beginning of the embolization process LAVA non-adhesive liquid agent
Embolic process with liquid non-adhesive agent, LAVA
Final control arteriography, respecting the sigmoid branches
Endoprosthesis control image: initial angulation of the right paw