E-ISSN 1305-3612
Interventional Radiology - Case Report 2016
Use of glue and microcoils for transarterial catheter embolization of a type 1 endoleak
1 From the Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey  
2 Department of Vascular Surgery, Hacettepe University School of Medicine, Ankara, Turkey  
Diagn Interv Radiol 2008; 14: 111-115

Key Words: endovascular aneurysm repair• abdominal aortic aneurysm • endoleak • embolization• deep venous thrombosis

We present a unique case of abdominal aortic aneurysm initially presenting with inferior vena cava compression leading to deep venous thrombosis, for which the patient subsequently underwent an endovascular aortic repair. Aorto-uni-iliac endografting was performed for subacute occlusion of left common iliac artery complicated by proximal type 1 endoleak. Subsequent management of the endoleak was successful, using a liquid embolic agent (cyanoacrylate) by transarterial approach. Transarterial catheter embolization with glue and coils is a feasible technique for high flow type 1 endoleaks. Glue injection carries the risk of non-target embolization, and thus this option should be reserved for experienced hands.

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