This study states that Type 2 endoleaks are the just endoleak that prophylactic sac embolization would forestall. A new meta-examination of 17 investigations, including 7 articles portraying sac embolization, announced an essentially lower T2 endoleak rate than the nonembolization group.1 The writers propose that sac embolization be performed at the finish of EVAR in patients with patent second rate mesenteric or lumbar conduits on sac angiogram. A 0.35-inch guidewire is acquainted in corresponding with the principle wire in mate style to keep up with admittance to the sac. When the EVAR was finished, a 5F calculated catheter is embedded through the skim wire. An angiogram is performed inside the aneurysmal sac utilizing 3 to 5 mL of differentiation to affirm lumbar conduit or sub-par mesenteric course outpouring. The blend is ready by consolidating 2000 U of thrombin with one-portion of a huge sheet of morcellated gelfoam, 5 mL nonheparinized saline and 5 mL difference to shape a slurry blending it between two 10-mL needles and a three-way stopcock. Through the 5F catheter, the slurry is infused gradually (most extreme 4 mL) until the endoleak is not, at this point recognizable on sequential angiograms.
Reference link- https://www.jvascsurg.org/article/S0741-5214(21)00464-X/fulltext
