IMA clipping for a type II endoleak: Combined laparoscopic and endovascular approach

Wei Zhou, Alan B. Lumsden, James Li

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


We describe herein a combined laparoscopic and endovascular approach to treat a type II endoleak due to retrograde flow in the patent inferior mesenteric artery (IMA). A 61-year-old gentleman presented with enlarging aneurysm sac confirmed on computed tomography scan evaluation after elective endovascular repair of an infrarenal abdominal aortic aneurysm. A combined laparoscopic and endovascular approach was used. After distal IMA was identified and marked with a clip laparoscopically, on-table angiography showed a proximal left colic branch and persistent flow in the IMA. Therefore, further laparoscopic exploration was performed by dissection along the distal branch. The origin of IMA was then located and subsequently sealed with 2 surgical clips. The completion angiography confirmed the proper position of the surgical clips and absence of endoleak. Our case demonstrated useful role of endovascular techniques in identifying the origin of IMA during laparoscopic approach for treating type II endoleak.

Original languageEnglish (US)
Pages (from-to)272-275
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number4
StatePublished - Aug 2006
Externally publishedYes


  • Abdominal aortic aneurysm
  • Endovascular
  • Inferior mesenteric artery
  • Laparoscopy
  • Type II endoleak

ASJC Scopus subject areas

  • Surgery


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