Hybrid Snorkel Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm Related to a Type IA Endoleak Utilizing an Axillary Conduit

An 84-year-old man with a history of endovascular aneurysm repair for abdominal aortic aneurysm (AAA) with multiple interventions for recurrent type II endoleaks including coil and ethylene vinyl alcohol copolymer (EVOH) (Onyx; Medtronic, Minneapolis) embolization presented to the emergency department with a 4-day history of left hip pain but no hemodynamic compromise. Plain radiography (Fig 1) and computed tomography (CT) (Fig 2) demonstrated ruptured AAA with extravasation of blood and EVOH into the retroperitoneum tracking inferiorly to the left acetabulum.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Extreme IR Source Type: research