Atypical Type 2 Endoleak from an Artery Supplying the Psoas Major Muscle Following Endovascular Repair in a Case of Isolated Common Iliac Artery Aneurysm

• Published in: Interventional Radiology Vol. 5; no. 1; pp. 19 - 22
• Main Authors: Murakami, Takamichi, Sugimoto, Koji, Yamaguchi, Masato, Okada, Takuya, Okada, Kenji, Gotake, Yasuko, Hamada, Mostafa Ahmed Sayed
• Format: Journal Article
• Language: English
• Published: Japanese Society of Interventional Radiology 28.02.2020; The Japanese Society of Interventional Radiology
• Subjects: Case Report; Embolization; Iliac artery aneurysm; Type 2 endoleak
• ISSN: 2432-0935; 2432-0935
• DOI: 10.22575/interventionalradiology.2019-0004

In this report, we present a rare case of type 2 endoleak (T2EL) from an artery supplying the psoas major muscle, following an endovascular repair of a common iliac artery aneurysm (CIAA). A 79-year-old male underwent endovascular aneurysm repair (EVAR) for the right isolated CIAA using stent graft, with embolization of the ipsilateral internal iliac artery. The aneurysm was stable for 2 years, after which a follow-up CT revealed a 5 mm increase in the CIAA diameter and an endoleak of unknown origin. Conventional and CT angiographies revealed the source to be a branch from the ipsilateral deep circumflex iliac artery supplying the psoas major muscle that had developed an anastomosis at its terminal end with the vasa vasorum at the CIAA. Transarterial embolization of T2EL using glue was performed successfully, following which the T2EL disappeared.