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ludc webb

Nuno Dias

Associate professor

ludc webb

Treatment of endoleaks: techniques and outcome.

Author

  • Tim Resch
  • Nuno Dias

Summary, in English

Endoleaks are one of the most common reasons for reinterventions and failure after endovascular aneurysm repair (EVAR). Current classifications divide endoleaks into type I-V but a more pragmatic definition is of direct and indirect endoleaks. Direct endoleaks (type I and III) transmit direct systemic pressure to the aneurysm sac and carry a high risk of aneurysm growth and rupture if left untreated. Immediate intervention is generally warranted. Indirect endoleaks (type II, IV, V) may have a more benign course and should be treated only under the presence of aneurysm growth. Appropriate procedural planning and device selection is critical to avoid endoleaks and most direct endoleaks can be identified and treated periprocedurally by use of high quality intraoperative imaging techniques. Late endoleaks can be treated predominately by endovascular means and the need for conversion to open surgery is rare.

Department/s

  • Vascular Diseases - Clinical Research

Publishing year

2012

Language

English

Pages

91-99

Publication/Series

Journal of Cardiovascular Surgery

Volume

53

Issue

1

Document type

Journal article

Publisher

Edizioni Minerva Medica

Topic

  • Cardiac and Cardiovascular Systems

Status

Published

Research group

  • Vascular Diseases - Clinical Research

ISBN/ISSN/Other

  • ISSN: 0021-9509