Operative Management of Type II Endoleaks After Aortic Endovascular Repair

  • Anna Maria Ierardi
  • Filippo Pesapane
  • Francesca Patella
  • Enrico Maria Fumarola
  • Salvatore Alessio Angileri
  • Mario Petrillo
  • Matteo Crippa
  • Gianpaolo CarrafielloEmail author


Endovascular aneurysm repair (EVAR) is associated with decreased periprocedural mortality, complications, and length of hospital stay compared to open repair.

Endoleaks can occur in 20–25% of patients after EVAR, with type II endoleaks being the most common.

They commonly occur from retrograde collateral blood flow into the aneurysm sac, typically from a lumbar artery or the inferior mesenteric artery (IMA).

Type II endoleaks are only treated if there is evidence of aneurysm growth (generally >5 mm). There are multiple approaches to the management of these endoleaks, including transarterial, translumbar, transcaval, and surgical approaches.

This chapter will look at the endovascular treatments, analyzing techniques, results, and modern tools available.


Compliance with Ethical Standards

Conflict of interest: The authors declare that they have no conflict of interest.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Anna Maria Ierardi
    • 1
  • Filippo Pesapane
    • 2
  • Francesca Patella
    • 2
  • Enrico Maria Fumarola
    • 2
  • Salvatore Alessio Angileri
    • 1
  • Mario Petrillo
    • 1
  • Matteo Crippa
    • 3
  • Gianpaolo Carrafiello
    • 1
    Email author
  1. 1.Department of Health Sciences, Diagnostic and Interventional Radiology, San Paolo HospitalUniversity of MilanMilanItaly
  2. 2.Postgraduation School in RadiodiagnosticsUniversità degli Studi di MilanoMilanItaly
  3. 3.Surgery Department, San Paolo HospitalUniversity of MilanMilanItaly

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