Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms

Richard A. Baum, Jeffrey P. Carpenter, Catherine M. Tuite, Omaida C Velazquez, Michael C. Soulen, Clyde P. Barker, Michael A. Golden, Ann M. Pyeron, Ronald M. Fairman

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

PURPOSE: To review the incidence and repair of inferior mesenteric arterial (IMA) type II endoleaks after endovascular repair of abdominal aortic aneurysms. MATERIALS AND METHODS: Fifty patients who underwent endovascular repair of abdominal aortic aneurysms were examined. If an endoleak was identified at 30-day postoperative computed tomography, conventional arteriography was performed to identify and eliminate its source. After the exclusion of attachment site leaks, a catheter was placed selectivity in the superior mesenteric artery (SMA). If retrograde filling of the IMA and aneurysm was identified, coil embolization was attempted through the SMA and middle colic artery. Intrasac pressures were measured at embolization. RESULTS: Eight of 50 patients (16%) had type II endoleaks that were attributed to retrograde flow in the IMA. Intrasac measurements demonstrated systemic pressure in six patients and one-half systemic pressure in two patients. The IMA was embolized through the SMA and left colic artery in seven patients and through the translumbar aorta in one patient. CONCLUSION: Retrograde flow in the IMA is responsible for may type II endoleaks. Systemic pressures are transmitted into the aneurysm sac from the IMA. The IMA can be embolized successfully with an SMA approach in most patients.

Original languageEnglish
Pages (from-to)409-413
Number of pages5
JournalRadiology
Volume215
Issue number2
StatePublished - May 15 2000
Externally publishedYes

Fingerprint

Endoleak
Abdominal Aortic Aneurysm
Superior Mesenteric Artery
Pressure
Colic
Therapeutics
Aneurysm
Arteries
Aorta
Angiography
Catheters
Tomography
Incidence

Keywords

  • Aneurysm, abdominal
  • Aneurysm, aortic
  • Aneurysm, therapy
  • Aortography
  • Arteries, therapeutic embolization
  • Stents and prostheses

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Baum, R. A., Carpenter, J. P., Tuite, C. M., Velazquez, O. C., Soulen, M. C., Barker, C. P., ... Fairman, R. M. (2000). Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms. Radiology, 215(2), 409-413.

Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms. / Baum, Richard A.; Carpenter, Jeffrey P.; Tuite, Catherine M.; Velazquez, Omaida C; Soulen, Michael C.; Barker, Clyde P.; Golden, Michael A.; Pyeron, Ann M.; Fairman, Ronald M.

In: Radiology, Vol. 215, No. 2, 15.05.2000, p. 409-413.

Research output: Contribution to journalArticle

Baum, RA, Carpenter, JP, Tuite, CM, Velazquez, OC, Soulen, MC, Barker, CP, Golden, MA, Pyeron, AM & Fairman, RM 2000, 'Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms', Radiology, vol. 215, no. 2, pp. 409-413.
Baum, Richard A. ; Carpenter, Jeffrey P. ; Tuite, Catherine M. ; Velazquez, Omaida C ; Soulen, Michael C. ; Barker, Clyde P. ; Golden, Michael A. ; Pyeron, Ann M. ; Fairman, Ronald M. / Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms. In: Radiology. 2000 ; Vol. 215, No. 2. pp. 409-413.
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