OBJECTIVE: This study was undertaken to describe the technique of transfemoral superselective coil embolization of @entity1070 and its influence on @entity1028 diameter. METHODS: Over 23 months, 104 aortic stent grafts were deployed to exclude @entity1028 , at an academic medical center. Increase in @entity439 diameter and perigraft findings on contrast material-enhanced computed tomography scans prompted arteriography. Procedures were performed solely by vascular surgeons in a surgical angiography suite. In 7 @entity1 @entity439 access was via the iliolumbar branches of the internal iliac artery, and in 1 @entity1 @entity439 access was via the inferior mesenteric artery through the arc of Riolan from the superior mesenteric artery. Coaxial catheters were placed to gain access to the @entity439 (8F to 5F to 3F, or 5F to 3F). A 3F Tracker18 was the most distal catheter through which an assortment of 0.018 microcoils were deployed within the @entity439 , and the origin of the feeding vessels when possible. RESULTS: @entity439 diameter increased 0.48 +/- 0.2 cm over 10.8 +/- 5 months before superselective coil embolization. In 6 of 8 @entity1 superselective coil embolization embolization resulted in a mean decrease in @entity439 diameter of 1.3 +/- 1.2 cm over 9 +/- 3.2 months. Failure was presumed due to inability to reach the @entity439 sac in 1 @entity1 and was associated with oral anticoagulation in 1 other @entity1 . CONCLUSION: Proper identification of the source of @entity1070 and its complete occlusion, combined with @entity439 sac coiling, may result in prompt decrease in @entity439 size.

Technique and results of transfemoral superselective coil embolization of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysm', 'Aneurysm'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysms', 'abdominal aortic aneurysm'] @entity1070 :: ('MESH:D057867', 'Disease') :: ['type II endoleak']
@entity1070 :: (MESH:D057867,Disease) :: ['type II lumbar endoleak']
