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. 2020 Aug 10;43(12):1839–1854. doi: 10.1007/s00270-020-02572-9

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 4 — Direct sac puncture and embolisation of type 2 endoleak. A Fluoroscopic guided access into the endoleak cavity via 18G Chiba needle (arrow), using bony landmarks and aortic endograft markers. B Angiogram via 18G needle confirms endoleak cavity (nidus) and several exit vessels (arrow heads). C Embolisation of exit vessels with micro-coils via microcatheter. D Subsequent embolisation of the endoleak cavity with Onyx