Percutaneous transthoracic coil embolization of a gutter-related type Ia endoleak after chimney thoracic endovascular aortic repair.

Emiel W M Huistra, Ignace F J Tielliu, Aryan Mazuri, G Matthijs Kater, Clark J Zeebregts

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Article in Journal of vascular surgery cases and innovative techniques, 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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5 authors.

Emiel W M HuistraDivision of Vascular Surgery, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Ignace F J TielliuDivision of Vascular Surgery, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Aryan MazuriDepartment of Radiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

G Matthijs KaterDepartment of Radiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Clark J ZeebregtsDivision of Vascular Surgery, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report describes the treatment of a gutter-related type Ia endoleak after chimney thoracic endovascular aortic repair to the left subclavian artery. The aneurysm sac was accessed via direct percutaneous transthoracic puncture, followed by selective catheterization of the gutter. Angiography confirmed the endoleak, which was treated with coil embolization. Track embolization was performed using Histoacryl glue. Follow-up computed tomography angiography demonstrated complete resolution of the endoleak. Percutaneous transthoracic coil embolization seems to be a feasible and effective treatment for gutter-related type Ia endoleak after chimney thoracic endovascular aortic repair. Given the anatomical complexity and variation in access options, treatment strategies should be individualized.

Indexed as

Chimney graftCoil embolizationGutter endoleakLeft subclavian arteryThoracic endovascular aortic repairType I endoleak

Identifiers

PMID40837723

DOI10.1016/j.jvscit.2025.101906

PMCPMC12363459

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