Endovascular intervention management of type II endoleak post-evar for abdominal aortic aneurysm

  • Lâm Thảo Cường Trường Y, Đại học Y Dược Thành phố Hồ Chí Minh
  • Trần Thanh Vỹ Trường Y, Đại học Y Dược Thành phố Hồ Chí Minh

Main Article Content

Keywords

Type II endoleak, endovascular aneurysm repair, transarterial embolization, Bio glue.

Abstract

Endoleak is the most common complication after endovascular aneurysm repair (EVAR), occurring in 20 - 25% of patients. Type II endoleak, the most frequent subtype accounting for 10 - 25% of all endoleaks, is defined as retrograde blood flow into the aneurysm sac from patent side-branch vessels, most commonly the inferior mesenteric artery (IMA) or lumbar arteries. We present a 74-year-old male with persistent type II endoleak two years after EVAR, with progressive aneurysm sac enlargement to 5.8 cm, successfully treated with transarterial embolization using Bio glue at the Department of Thoracic and Vascular Surgery, University Medical Center Ho Chi Minh City. Completion angiography and CT scan confirmed complete endoleak exclusion; the patient was discharged on postoperative day 1 without complications. This article also provides a literature review on the diagnosis, classification, and treatment strategies for type II endoleak.

Article Details

References

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Published
May 15, 2026
DOI: https://doi.org/10.52389/ydls.v21i4.3027
Issue
Volume 21 - No 4/2026
Section
Articles
How to Cite
CườngL. T., & VỹT. T. (2026). Endovascular intervention management of type II endoleak post-evar for abdominal aortic aneurysm. Tạp Chí Y Dược lâm sàng 108, 21(4). https://doi.org/10.52389/ydls.v21i4.3027