Accurate Embolization for Endoleak after F-TEVAR of Thoracic Aortic Dissection by Detachable Coils
Tianze Xu1, Yi Jin1, Tao Tang1
1Department of Vascular Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, China.
Objectives:
To evaluate the efficacy and clinical outcomes of accurate embolization of endoleaks after fenestrated thoracic endovascular aortic repair (F-TEVAR) for thoracic aortic dissections.
Methods:
Twenty patients with endoleaks (17 type I and 3 type II) after fenestrated thoracic endovascular aortic repair (F-TEVAR) were embolized using detachable and ordinary coils. We assessed the success rate and complications of the operation, and its effects, through clinical and CT follow-up.
Results:
The mean clinical follow-up duration was 25.68 ± 11.07 months (3-44 months). During follow-up, all endoleaks were completely embolized and aortic remodeling was improved. Secondary endoleaks occurred in four patients who were embolized twice. No other complications or death were reported.
Conclusion:
Embolization using detachable and ordinary coils is effective and safe for the treatment of endoleaks after fenestrated thoracic endovascular aortic repair.
