Total Laparoscopic Inferior Mesenteric Artery Clipping for Persistent Type II Endoleak Following EVAR: A Case Report and Review of Surgical Strategy.

Vasc Endovascular SurgMay 7, 2026 (epub)
Case ReportVascular SurgeryGeneral Surgery

Mahmoud Badawi Hassan, T F Browne, Ioannis Prionidis

✦ AI-curated · Sources linked

Case in brief

An 87-year-old male presented with progressive aneurysm sac enlargement due to a persistent Type II endoleak following endovascular aneurysm repair (EVAR). Initial treatment with intra-sac thrombin injection was unsuccessful. The patient underwent total laparoscopic inferior mesenteric artery clipping, which was confirmed by intraoperative ultrasound to have ceased the endoleak. Postoperative duplex imaging showed a reduction in endoleak volume.

Diagnostic / clinical pearl

Total laparoscopic inferior mesenteric artery clipping is a viable minimally invasive approach for managing persistent Type II endoleaks after EVAR.

Why it matters

Intraoperative ultrasound can effectively confirm the cessation of endoleak flow in real-time, enhancing surgical decision-making.

Source

PubMed · PMID 42095299

Published in Vasc Endovascular Surg. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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