Academic Journal
Total Laparoscopic Inferior Mesenteric Artery Clipping for Persistent Type II Endoleak Following EVAR: A Case Report and Review of Surgical Strategy.
| Τίτλος: | Total Laparoscopic Inferior Mesenteric Artery Clipping for Persistent Type II Endoleak Following EVAR: A Case Report and Review of Surgical Strategy. |
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| Συγγραφείς: | Hassan MB; Department of Vascular Surgery, Cambridge University Hospitals, NHS Foundation Trust, Cambridge, UK.; Fayoum University Hospitals, Fayoum, Egypt., Browne TF; Mid and South Essex NHS Foundation Trust, Chelmsford, UK., Prionidis I; Mid and South Essex NHS Foundation Trust, Chelmsford, UK. |
| Πηγή: | Vascular and endovascular surgery [Vasc Endovascular Surg] 2026 Oct; Vol. 60 (7), pp. 644-647. Date of Electronic Publication: 2026 May 07. |
| Τύπος έκδοσης: | Journal Article; Case Reports; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101136421 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-9116 (Electronic) Linking ISSN: 15385744 NLM ISO Abbreviation: Vasc Endovascular Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Thousand Oaks, CA : Sage Publications Original Publication: Glen Head, N.Y. : Westminster Publications, c2002- |
| Ιατρικοί όροι (MeSH): | Endoleak*/surgery , Endoleak*/diagnostic imaging , Endoleak*/etiology , Endoleak*/physiopathology , Endovascular Aneurysm Repair*/adverse effects , Mesenteric Artery, Inferior*/surgery , Mesenteric Artery, Inferior*/diagnostic imaging , Mesenteric Artery, Inferior*/physiopathology , Laparoscopy*/instrumentation , Aortic Aneurysm, Abdominal*/surgery , Aortic Aneurysm, Abdominal*/diagnostic imaging , Surgical Instruments*, Humans ; Aged, 80 and over ; Male ; Treatment Outcome |
| Περίληψη: | BackgroundType II endoleak is the most common complication following endovascular aneurysm repair (EVAR), typically due to retrograde flow from collateral arteries, most notably the inferior mesenteric artery (IMA). Although usually low-pressure, persistent leaks associated with sac expansion warrant intervention.Case PresentationWe describe an 87-year-old male presenting with progressive aneurysm sac enlargement due to a persistent Type II endoleak post-EVAR. Initial management with intra-sac thrombin injection. Subsequently, a total laparoscopic IMA clipping was performed with intraoperative ultrasound verification of immediate endoleak cessation. Early postoperative duplex demonstrated reduction in endoleak volume.ConclusionTotal laparoscopic IMA clipping is a feasible minimally invasive option for refractory type II endoleak. Intra-operative ultrasound can provide real-time physiological confirmation of flow cessation. Long-term cross-sectional follow-up imaging was unavailable. |
| Competing Interests: | Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: | Keywords: EVAR; abdominal aortic aneurysm; inferior mesenteric artery; laparoscopic clipping; type II endoleak |
| Entry Date(s): | Date Created: 20260507 Date Completed: 20260904 Latest Revision: 20260904 |
| Update Code: | 20260904 |
| DOI: | 10.1177/15385744261441978 |
| PMID: | 42095299 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1938-9116 |
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| DOI: | 10.1177/15385744261441978 |