Börteçin EYGİ, Mustafa PARILDAR, Anıl APAYDIN, Emrah OĞUZ, Hakan POSACIOĞLU

Aortic banding in the treatment of type I endoleak

Son zamanlarda, özellikle yüksek riskli hastalarda yapılan aort anevrizmalarının endovasküler onarımı, son derece popüler hale gelmiştir. Bu alanda artan deneyim ve bilgi birikimine rağmen, halen çözüm bekleyen bazı sorunlar mevcuttur. Kaçak, endovasküler işlemler sonrasında en sık görülen komplikasyondur. Anevrizma boşluğu üzerinde devam eden baskı ve inatçı rüptür riski doğurarak, anevrizma kesesinin yetersiz olarak kapatılması kaçak olarak tanımlanabilir. Proksimal ve distal tip 1 kaçak tedavisinde uygulanabilecek birkaç yöntem vardır. Bu yazıda, tip 1b kaçak onarımı için aort bantlama yöntemi uygulanan 61 yaşında erkek bir olgu sunuldu.

Tip 1 kaçak tedavisinde aortik bantlama

Recently, endovascular repairs for aortic aneurysms have become highly popular particularly in high-risk patients. Despite growing experience and knowledge in this field, certain problems are still to be solved. Endoleak is the most common complication after endovascular procedures. Endoleak can be defined as incomplete sealing of the aneurysm sac, resulting in continuous pressure on the aneurysm cavity and persistent rupture risk. Several methods are available for the management of proximal and the distal type 1 endoleaks. In this article, we present a 61-year-old male case who underwent aortic banding for the repair of type 1b endoleak.

PDF

___

1. White GH, Yu W, May J, Chaufour X, Stephen MS. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management. J Endovasc Surg 1997;4:152-68.
2. Tzortzis E, Hinchliffe RJ, Hopkinson BR. Adjunctive procedures for the treatment of proximal type I endoleak: the role of peri-aortic ligatures and Palmaz stenting. J Endovasc Ther 2003;10:233-9.
3. Mikhail P, Hess PJ Jr, Klodell CT, Beaver TM, Lee A, Tribble CG, et al. Closure of type I endoleaks and landing zone preparation of the thoracic aorta. Ann Thorac Surg 2008;85:e9-11. doi: 10.1016/j.athoracsur.2007.09.039.
4. Nienaber CA, Rousseau H, Eggebrecht H, Kische S, Fattori R, Rehders TC, et al. Randomized comparison of strategies for type B aortic dissection: the INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) trial. J Thorac Cardiovasc Surg 2010;140(6 Suppl):S101-8.
5. Eggebrecht H, Herold U, Kuhnt O, Schmermund A, Bartel T, Martini S, et al. Endovascular stent-graft treatment of aortic dissection: determinants of post-interventional outcome. Eur Heart J 2005;26:489-97.
6. Chen IM, Wu FY, Shih CC. Banding technique for endovascular repair of arch aneurysm with unsuitable proximal landing zone. Circ J 2008;72:1981-5.