PDF(Pubmed)
Abstract：
Late type II endoleaks (T2ELs) arising from the internal iliac artery (IIA) may present during follow-up after endovascular aortic repair (EVAR) of aortoiliac aneurysm and may warrant embolization if enlargement of the aneurysmal sac is demonstrated. When coverage of the IIA ostium has been made due to extensive iliac disease, access options can be challenging. Different treatment options have been reported over recent years, and a careful selection of the best one must be made based on the characteristics of each case. The present study reports a simple and reproducible sheathless percutaneous superior gluteal artery (SGA) access and provides a discussion based on a review of the existing literature on this topic.
摘要：
在主动脉动脉瘤的血管内主动脉修复（EVAR）后的随访期间，可能会出现髂内动脉（IIA）引起的晚期II型内漏（T2ELs），如果证实动脉瘤囊扩大，则可能需要栓塞。当IIA口由于广泛的髂关节疾病而被覆盖时，访问选项可能具有挑战性。近年来报道了不同的治疗方案，必须根据每种情况的特点，仔细选择最好的。本研究报告了一种简单且可重复的无鞘经皮臀上动脉（SGA）通道，并根据对该主题的现有文献的回顾进行了讨论。
