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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. --- 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. --- 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 --- The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Get notified when new episodes drop! Subscribe to the BackTable Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular vascular and interventional updates. ► https://www.backtable.com/shows/vi/su... #VI583 #aneurysm #interventionalradiology #embolization