From longitudinal monitoring to complex interventions, type II endoleaks often require an individualized approach. In this episode of BackTable, host Dr. Sabeen Dhand welcomes Dr. Matt Givens, Chief of Interventional Radiology at the New Orleans VA and faculty at Louisiana State University Health, to discuss the intricacies of type II endoleak management and repair techniques.
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SYNPOSIS
The conversation begins with a walkthrough of Dr. Givens’s firstline operative approach, which involves entering the inferior mesenteric artery and choosing a microcatheter that allows for entry into the sac and nidus. The doctors cover nuances in choosing and planning transarterial, translumbar, and transcaval approaches. Dr. Givens also details his embolics of choice, his preferred tools for direct sac puncture, and the rationale behind his embolization endpoints.
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TIMESTAMPS
00:00 - Introduction
08:12 - Imaging and Follow-Up Protocols
16:27 - Transarterial Techniques for Endoleak Management
33:45 - Techniques for Targeting and Embolization
35:34 - Challenges and Solutions in Embolization
36:57 - Transcaval and Translumbar Approaches
39:09 - Complications and Case Studies
53:58 - Building a Collaborative Practice
56:09 - Conclusion