Transcaval endoleak repair complicated by Onyx Leak into the IVC and heart

Eddie Hyatt; Keshav Menon; Seth Toomay; Sanjeeva P Kalva

doi:10.1007/978-3-031-24251-9_4

Transcaval endoleak repair complicated by Onyx Leak into the IVC and heart

Eddie Hyatt, Keshav Menon, Seth Toomay, Sanjeeva P Kalva

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

A 75-year-old man with an enlarging abdominal aortic aneurysm (AAA) following endovascular aneurysm repair (EVAR) was found to have a Type II endoleak on follow-up computed tomography angiography (CTA) (Fig. 4.1). Using a transcaval approach, the aneurysm sac was accessed via the inferior vena cava (IVC) using a Rosh-Uchida needle under fluoroscopic and intravascular ultrasound (IVUS) guidance. Ethylene vinyl alcohol liquid embolic (Onyx®) was instilled into the sac via a microcatheter placed through a 5 F Kumpe catheter (Fig. 4.2). After embolization, as the microcatheter and base catheter were retracted into the IVC, Onyx® spilled into the IVC and became attached to the IVUS probe and guidewire (Fig. 4.3).

Original language	English (US)
Title of host publication	Extreme IR
Subtitle of host publication	Extraordinary Cases in Interventional Radiology and Endovascular Therapies
Publisher	Springer International Publishing
Pages	12-14
Number of pages	3
ISBN (Electronic)	9783031242519
ISBN (Print)	9783031242502
DOIs	https://doi.org/10.1007/978-3-031-24251-9_4
State	Published - Jul 12 2023

Keywords

Interventional radiology
IR
IVC
Onyx leak
Transcaval endoleak repair

ASJC Scopus subject areas

General Medicine

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10.1007/978-3-031-24251-9_4

Cite this

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abstract = "A 75-year-old man with an enlarging abdominal aortic aneurysm (AAA) following endovascular aneurysm repair (EVAR) was found to have a Type II endoleak on follow-up computed tomography angiography (CTA) (Fig. 4.1). Using a transcaval approach, the aneurysm sac was accessed via the inferior vena cava (IVC) using a Rosh-Uchida needle under fluoroscopic and intravascular ultrasound (IVUS) guidance. Ethylene vinyl alcohol liquid embolic (Onyx{\textregistered}) was instilled into the sac via a microcatheter placed through a 5 F Kumpe catheter (Fig. 4.2). After embolization, as the microcatheter and base catheter were retracted into the IVC, Onyx{\textregistered} spilled into the IVC and became attached to the IVUS probe and guidewire (Fig. 4.3).",

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AU - Hyatt, Eddie

AU - Menon, Keshav

AU - Toomay, Seth

AU - Kalva, Sanjeeva P

N1 - Publisher Copyright: © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.

PY - 2023/7/12

Y1 - 2023/7/12

N2 - A 75-year-old man with an enlarging abdominal aortic aneurysm (AAA) following endovascular aneurysm repair (EVAR) was found to have a Type II endoleak on follow-up computed tomography angiography (CTA) (Fig. 4.1). Using a transcaval approach, the aneurysm sac was accessed via the inferior vena cava (IVC) using a Rosh-Uchida needle under fluoroscopic and intravascular ultrasound (IVUS) guidance. Ethylene vinyl alcohol liquid embolic (Onyx®) was instilled into the sac via a microcatheter placed through a 5 F Kumpe catheter (Fig. 4.2). After embolization, as the microcatheter and base catheter were retracted into the IVC, Onyx® spilled into the IVC and became attached to the IVUS probe and guidewire (Fig. 4.3).

AB - A 75-year-old man with an enlarging abdominal aortic aneurysm (AAA) following endovascular aneurysm repair (EVAR) was found to have a Type II endoleak on follow-up computed tomography angiography (CTA) (Fig. 4.1). Using a transcaval approach, the aneurysm sac was accessed via the inferior vena cava (IVC) using a Rosh-Uchida needle under fluoroscopic and intravascular ultrasound (IVUS) guidance. Ethylene vinyl alcohol liquid embolic (Onyx®) was instilled into the sac via a microcatheter placed through a 5 F Kumpe catheter (Fig. 4.2). After embolization, as the microcatheter and base catheter were retracted into the IVC, Onyx® spilled into the IVC and became attached to the IVUS probe and guidewire (Fig. 4.3).

KW - Interventional radiology

KW - IR

KW - IVC

KW - Onyx leak

KW - Transcaval endoleak repair

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BT - Extreme IR

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ER -

Transcaval endoleak repair complicated by Onyx Leak into the IVC and heart

Abstract

Keywords

ASJC Scopus subject areas

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