{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T02:13:20Z","timestamp":1778033600266,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,5]],"date-time":"2025-01-05T00:00:00Z","timestamp":1736035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Embolizing an abdominal aortic aneurysm sac through a transcaval approach is a novel approach to treat type-II endoleaks that occur following aortic endografting. This study reviews the outcomes of this treatment in one of the few centres in Australia that offers this procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted, including patients who had received transcaval embolisation of type-II endoleak over a 9-year period. The primary outcome was clinical success, defined as the absence of endoleak on post-procedural ultrasonography at 6-weeks, provided the procedure was successfully completed. Other outcomes included clinical success at 1-year, aneurysm size, rupture and aneurysm-related mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve patients with type-II endoleak and AAA sac growth received transcaval embolisation. Technical success was achieved in 91.7% of cases, in which both Onyx 34 and coils were deployed into the sac. Clinical success, defined as an absence of endoleak on ultrasonography 6-weeks after a technically successful procedure, was achieved in 66.7% of patients, none of whom had evidence of endoleak at 1-year post-procedure. In patients whom clinical success was achieved, there was a decrease in sac size during follow-up, from 72.5 \u00b1 13.1 at 6-weeks to 66.0 \u00b1 12.1 at 1-year post-procedure. Aneurysm sac size continued to enlarge if clinical success was not observed, with an average sac size of 72.0 \u00b1 14.1 at 6-weeks increasing to 76.9 \u00b1 15.2 at 1-year. No patients suffered AAA rupture or AAA-related mortality during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study reports a high technical and clinical success rate, with outcomes that could suggest that this procedure could induce sac regression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241313251","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T01:43:31Z","timestamp":1736127811000},"page":"34-39","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Transcaval embolisation of type-II endoleaks \u2013 The Australian experience"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2193-8108","authenticated-orcid":false,"given":"Kevin","family":"Tian","sequence":"first","affiliation":[{"name":"Townsville University Hospital"},{"name":"James Cook University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vimalin","family":"Samuel","sequence":"additional","affiliation":[{"name":"Townsville University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Sun","sequence":"additional","affiliation":[{"name":"Townsville University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dylan","family":"Morris","sequence":"additional","affiliation":[{"name":"Townsville University Hospital"},{"name":"James Cook University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0153-6651","authenticated-orcid":false,"given":"Yew Toh","family":"Wong","sequence":"additional","affiliation":[{"name":"Townsville University Hospital"},{"name":"James Cook University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh","family":"Velu","sequence":"additional","affiliation":[{"name":"Townsville University Hospital"},{"name":"James Cook University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,5]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.044"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574420945448"},{"issue":"5","key":"e_1_3_4_4_2","first-page":"e39775","article-title":"The challenge of endoleaks in endovascular aneurysm repair (evar): a review of their types and management","volume":"15","author":"Yanamaladoddi VR","year":"2023","unstructured":"Yanamaladoddi VR, Sarvepalli SS, Vemula SL, et al. The challenge of endoleaks in endovascular aneurysm repair (evar): a review of their types and management. 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