3:50 PM Abstract No. 385 Embolization of residual endoleak or false aneurysm after surgical or endovascular repair of the ascending aorta

To illustrate with 3 patients the feasibility of endovascular and direct percutaneous embolization of complications following ascending aorta surgery and TEVAR, with contra-indication for conventional reintervention. 3 patients have been treated for complications of ascending aortic repair. Patient 1 presented type A dissection after surgical aortic valve replacement. Patient 2 presented type 3 endoleak after endovascular aortic arch repair with a bi-carotid branched Stent-Graft. Patient 3 presented a false aneurysm of the ascending aorta following Bentall surgery. Endovascular access has been used in 2 cases, while direct percutaneous access for the double branch Stent-Graft. Embolization was performed using Penumbra coils. Procedural details are illustrated. Follow-up angiogram and CT-scanner showed a complete occlusion in all 3 patients. No significant complications have been observed during the procedure and the close follow-up. Embolization after TEVAR or surgical repair of the ascending aorta can be an effective complementary treatment of endoleak or false aneurysm complications. Multidisciplinary decision is mandatory.