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Surgical treatment of the progressive endoleak type II after EVAR

  • ICS congress 2015
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Abstract

Background

Endoleak type II (EL2) is the most common endoleak after Endo-Vascular Aneurysm Repair (EVAR). If the aneurysm sac is growing, then treatment is indicated.

Methods

This is a retrospective pilot study, which describes 10 patients who underwent unsuccessful endovascular treatment of EL2 and were indicated for open surgical treatment.

Results

10 patients underwent open operation without abdominal aorta clamp. Lethality was 0. Computed Tomography Angiogram (CTA) follow-up 12 months later showed no endoleak with good position of the stent-graft.

Conclusions

Results confirm a good outcome of surgical techniques which are safe, but for the evidence base we need more cases.

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References

  1. Hajibandeh S, Ahmad N, Antoniou GA, Torella F. Is intervention better than surveillance in patients with type 2 endoleak post-endovascular abdominal aortic aneurysm repair? Interact Cardiovasc Thorac Surg. 2015;20(1):128–34.

    Article  PubMed  Google Scholar 

  2. Chikazawa G, Hiraoka A, Hirai Y, Tamura K, Totsugawa T, Ishida A, Sakaguchi T, Yoshitaka H. Open reintervention for Aneurysmal sac enlargement after EVAR. Ann Vasc Dis. 2014;7(3):350–53.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Chikazawa G, Yoshitaka H, Hiraoka A, Tanaka K, Mouri N, Tamura K, Totsugawa T, Ishida A, Sakaguchi T. Preoperative coil embolization to aortic branched vessels for prevention of Aneurysmal sac enlargement following EVAR: early clinical result. Ann Vasc Dis. 2013;6(2):175–79.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Maitrias P, Belhomme D, Molin V, Reix T. Obliterative Endoaneurysmorrhaphy with stent graft preservation for treatment of type II progressive endoleak. Eur J Vasc Endovasc Surg. 2015;51(1):38–42. doi:10.1016/j.ejvs.2015.07.013.

    Article  PubMed  Google Scholar 

  5. Böckler D, Holden A, Thompson M, Hayes P, Krievins D, de Vries JP, Reijnen MM. Multicenter Nellix Endovascular Aneurysm sealing system experience in aneurysm sac sealing. J Vasc Surg. 2015;62(2):290–98.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

Authors

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Correspondence to D. Dobes.

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Conflict of interest

D. Dobes, M. Hajek, J. Raupach, Z. Belobradek, J. Kuriakose and N. Arestis state that there are no conflicts of interest.

Additional information

The supplement is dedicated to Jubilee World congress of International College of Surgeons 2015.

The publishing was sponsored by the Ministry of Health of the Czech Republic.

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Dobes, D., Hajek, M., Raupach, J. et al. Surgical treatment of the progressive endoleak type II after EVAR. Eur Surg 48 (Suppl 2), 141–143 (2016). https://doi.org/10.1007/s10353-016-0409-1

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  • DOI: https://doi.org/10.1007/s10353-016-0409-1

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