Percutaneous Coil Embolization of and Internal Iliac Artery Endoleak under Ultrasound control

摘要

Introduction: Type II endoleak with high risks of complications can be managed by endovascular catheterization or direct percutaneous approach if standard endovascular tech- niques failed as it is reported in our observation.Report: A 79-year-old patient was treated two months earlier by stent-graft for a retroperito-neal rupture of a right common iliac artery aneurysm. The 2 months follow-up CT-scan showed an endoleak from the right hypogastric artery without clearly outflow vessel. Ultrasound guid- ance was used to access the endoleak, which was then embolized with coils under fluoroscopy. Discussion: This case illustrates the possible advantages of this technique in the treatment of endoleak.