Endoleak Management

  • Jessica Titus
  • Brett Butler
Chapter

Abstract

Since the introduction of endovascular aneurysm repair (EVAR) in 1987, it has advanced rapidly. Along with this has come the development of new complications specific to the use of the endograft. The most prominent of these is the endoleak. An endoleak is defined as “persistent blood flow outside of the endograft but within an aneurysm or adjacent vascular segment being treated by the device.” It represents a treatment failure as the risk of aneurysm rupture remains given the ongoing pressurization of the aneurysm sac by the persistence of blood flow within it. Early reports of endoleaks estimated the incidence to be around 20 %.

Keywords

Porosity 

References

  1. 1.
    Veith FJ et al. Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference. J Vasc Surg. 2002;35(5):1029–35.PubMedCrossRefGoogle Scholar
  2. 2.
    Sheehan MK et al. Are type II endoleaks after endovascular aneurysm repair endograft dependent? J Vasc Surg. 2006;43(4):657–61.PubMedCrossRefGoogle Scholar
  3. 3.
    Chaikof EL et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35(5):1048–60.PubMedCrossRefGoogle Scholar
  4. 4.
    van Marrewijk C et al. Significance of endoleaks after endovascular repair of abdominal aortic aneurysms: the EUROSTAR experience. J Vasc Surg. 2002;35(3):461–73.PubMedCrossRefGoogle Scholar
  5. 5.
    Zarins CK et al. Stent graft migration after endovascular aneurysm repair: importance of proximal fixation. J Vasc Surg. 2003;38(6):1264–72; discussion 1272.PubMedCrossRefGoogle Scholar
  6. 6.
    Wilt TJ et al. Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm. Evid Rep Technol Assess (Full Rep). 2006;144:1–113.Google Scholar
  7. 7.
    Gould DA et al. Aortic side branch embolization before endovascular aneurysm repair: incidence of type II endoleak. J Vasc Interv Radiol. 2001;12(3):337–41.PubMedCrossRefGoogle Scholar
  8. 8.
    Tefera G et al. Is coil embolization of hypogastric artery necessary during endovascular treatment of aortoiliac aneurysms? Ann Vasc Surg. 2004;18(2):143–6.PubMedCrossRefGoogle Scholar
  9. 9.
    Bonvini R et al. Preoperative embolization of collateral side branches: a valid means to reduce type II endoleaks after endovascular AAA repair. J Endovasc Ther. 2003;10(2):227–32.PubMedCrossRefGoogle Scholar
  10. 10.
    Mansueto G et al. Treatment of type II endoleak with a transcatheter transcaval approach: results at 1-year follow-up. J Vasc Surg. 2007;45(6):1120–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Wisselink W et al. Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm repair. J Vasc Surg. 2000;31(6):1240–4.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Jessica Titus
    • 1
  • Brett Butler
    • 2
  1. 1.Department of Vascular SurgeryCleveland Clinic FoundationClevelandUSA
  2. 2.Department of Vascular SurgeryAultman HospitalCantonUSA

Personalised recommendations