Transarterial embolization of type II endoleak

Transarterial embolization.
(A) A 6F sheath has been placed in the internal iliac artery, and a 5F selective catheter is used to image the endoleak.
(B) A microcatheter is guided over a microwire (coaxial system) toward the lumbar artery origin.
(C) Microcoils are used, and there is no residual endoleak.
(D) Six months later, the endoleak persists and the abdominal aortic aneurysm is expanding; more feeders are identified (arrow).
(E) The microcatheter is again used to reach the abdominal aortic aneurysm sac.
(F) Nidus and branches are coiled, and endoleak resolves.