Direct transarterial embolization via the deep circumflex iliac artery for a type II endoleak using a novel Onyx™
Paul Ghaly1, Glen Schlaphoff2, Jim Iliopoulos1
1Vascular Surgery Department, Liverpool Hospital, SWSLHD, NSW 2173, Australia.
Abstract:
Internal iliac artery aneurysms (IIAA) can be associated with abdominal aortic aneurysms. We describe a technique of successful transarterial embolization using a mixture of Onyx™ formulations in a 72-year-old with previous open and endovascular aneurysm repairs of his abdominal aorta and a residual large left IIAA causing a Type II endoleak. We demonstrate that utilization of the deep circumflex iliac artery is a safe and viable alternate route to treating IIAA when direct access is not achievable.
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