A Direct Approach for the Correction of Persistent Endoleak: a Technical Report

Abstract Endovascular repair of infrarenal abdominal aortic aneurysms is becoming more widespread, with the use of a variety of different devices. They all share a subsequent risk of endoleak, which averages 25%. Type I leaks and type II leaks with increasing sac size should ideally be treated endovascularly. Embolisation through collaterals into the sac is not always achievable. We describe a case of a type II endoleak where a direct puncture of the endoleak cavity was carried out under fluoroscopy, with subsequent embolisation using Spongistan and thrombin glue to occlude the leak.