ArticleJACC. Case reports2025
Re-Do Endovascular Endoleak Embolization by Transprosthetic Puncture After Endovascular Aneurysm Repair.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
backgroundCompared with open repair of abdominal aortic aneurysms, endovascular aneurysm repair (EVAR) is less invasive and results in better perioperative outcomes and lower perioperative mortality risk. However, complications, such as endoleaks, can be frequent, leading to interventions on the stent graft. Managing endoleaks remains controversial. CASE SUMMARY: Type I endoleaks require secondary intervention because of a high rupture risk, whereas type II endoleaks are treated if the aneurysm sac grows. The most effective treatment for type II endoleaks is still debated. Transcatheter embolization, including the less-invasive transprosthetic puncture embolization, may offer a better alternative to open surgery. REVIEW SUMMARY: This review discusses type II endoleak management strategies, emphasizing transprosthetic puncture embolization, which provided excellent results in our case. TAKE-HOME MESSAGES: Transprosthetic puncture embolization is a safe, effective treatment for type II endoleaks post-EVAR. This case demonstrates its successful application with no complications at follow-up.
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