Type II endoleaks: challenges and solutions

Vascular Health and Risk Management

关键词: Aorta;    Endovascular;    Endograft;    Endoleak;    Embolisation;   

DOI  :  

来源: DOAJ

【 摘 要 】

Andrew Brown,1 Greta K Saggu,1 Matthew J Bown,2 Robert D Sayers,2 David A Sidloff1,2 1Department of Vascular Surgery, Queens Medical Centre, University of Nottingham, Nottingham, 2Department of Cardiovascular Sciences, National Institute for Health Research Leicester Cardiovascular Biomedical Research Unit, University of Leicester, Leicester, UKAbstract: Type II endoleaks are the most common endovascular complications of endovascular abdominal aortic aneurysm repair (EVAR); however, there has been a divided opinion regarding their significance in EVAR. Some advocate a conservative approach unless there is clear evidence of sac expansion, while others maintain early intervention is best to prevent adverse late outcomes such as rupture. There is a lack of level-one evidence in this challenging group of patients, and due to a low event rate of complications, large numbers of patients would be required in well-designed trials to fully understand the natural history of type II endoleak. This review will discuss the imaging, management, and outcome of patients with isolated type II endoleaks following infra-renal EVAR.Keywords: aorta, endovascular, endograft, endoleak, embolization 

【 授权许可】

Unknown