# Abdominal Stent Grafting With Coil Embolization for an Abdominal Aortic Aneurysm Sac With a Short Neck

## TL;DR

A 68-year-old man with a short-neck abdominal aortic aneurysm was successfully treated with a combination of stent grafting and coil embolization, preventing a dangerous leak and reducing the aneurysm size.

## Contribution

The paper presents a novel combined approach using stent grafting and coil embolization for treating short-neck abdominal aortic aneurysms.

## Key findings

- The procedure resolved a type Ia endoleak immediately after surgery.
- One year post-surgery, no endoleak was observed and the aneurysm size decreased by 10 mm.

## Abstract

A 68-year-old man underwent endovascular abdominal aortic aneurysm repair for a two-humped abdominal aortic aneurysm (AAA) with a short neck. The abdominal aorta had severe calcification, suggesting a high risk for type Ia endoleak. Initially, a catheter was placed in the aneurysm sac, followed by stent graft deployment. Then, coils were inserted into the aneurysm neck. Subsequently, the type Ia endoleak was resolved. One year after the surgery, no evidence of endoleak was observed, and the aneurysm size had decreased by 10 mm. Therefore, this procedure may be effective for short-neck AAAs.