Although endovascular aneurysm repair (EVAR) in the abdominal aorta has reduced the perioperative mortality when compared with open repair, the need for reintervention after complications such as endoleak may be presented in up to 20% of the cases. Type II endoleak from branch vessels is often benign but can potentially be associated with progressive abdominal aortic aneurysm growth and sac expansion. We present a rare case of a patient who presented with sac expansion and psoas hematoma due to Type II endoleak from “unusual” collaterals of IMA and was treated successfully with endoleak microembolization and percutaneous decompression of the hematoma.
Paragangliomas (PGLs) are rare neuroendocrine tumors. About 50% of PGLs develop in the head and neck region, of which approximately 50% originate from the carotid body, and classified as Carotid body tumors (CBTs). Proper management and therapeutic options for CBTs have not yet been clearly determined, to date. We hereby report a case of a huge transected CBT treated by ligation of internal carotid artery (ICA), resulting to an unexpected ipsilateral embolic stroke despite an anticoagulation therapy.
Stenosis or obstruction of neck great veins represent a frequent and severe complication in hemodialysis patients. Endovascular treatment with percutaneous transluminal angioplasty and/or stenting of these veins is the gold standard to restore patency. However, the jugular vein is frequently overstented in these cases and this might lead to persistent symptomatology of those patients also losing an access for future catheter placement. Herein, we present the 6-months performance of a Y-shaped stenting of the brachiocephalic and internal jugular vein leading to complete resolution of the symptoms, and maintenance of the jugular vein access.
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