TY - JOUR
T1 - Type II endoleaks
T2 - Diagnosis and treatment algorithm
AU - Bryce, Yolanda
AU - Schiro, Brian
AU - Cooper, Kyle
AU - Ganguli, Suvranu
AU - Khayat, Mamdouh
AU - Lam, Cuong Ken
AU - Oklu, Rahmi
AU - Vatakencherry, Geogy
AU - Gandhi, Ripal T.
N1 - Publisher Copyright:
© Cardiovascular Diagnosis and Therapy. All rights reserved.
PY - 2018/4
Y1 - 2018/4
N2 - Elective abdominal aortic aneurysm (AAA) repair is recommended for aneurysms greater than 5.5 cm, symptomatic, or rapidly expanding more than 0.5 cm in 6 months. Seventy-five percent of AAAs today are treated with endovascular aneurysm repair (EVAR) rather than open repair. This is fostered by the lower periprocedural mortality, complications, and length of hospital stay associated with EVAR. However, some studies have demonstrated EVAR to result in higher reintervention rates than with open repair, largely due to endoleaks. Type II is the most common, making up 10-25% of all endoleaks. Type II endoleaks, can potentially enlarge and pressurize the aneurysm sac with a risk of rupture. However, many type II endoleaks spontaneously resolve or never lead to sac enlargement. Imaging surveillance and approaches to management of type II endoleaks are reviewed here.
AB - Elective abdominal aortic aneurysm (AAA) repair is recommended for aneurysms greater than 5.5 cm, symptomatic, or rapidly expanding more than 0.5 cm in 6 months. Seventy-five percent of AAAs today are treated with endovascular aneurysm repair (EVAR) rather than open repair. This is fostered by the lower periprocedural mortality, complications, and length of hospital stay associated with EVAR. However, some studies have demonstrated EVAR to result in higher reintervention rates than with open repair, largely due to endoleaks. Type II is the most common, making up 10-25% of all endoleaks. Type II endoleaks, can potentially enlarge and pressurize the aneurysm sac with a risk of rupture. However, many type II endoleaks spontaneously resolve or never lead to sac enlargement. Imaging surveillance and approaches to management of type II endoleaks are reviewed here.
KW - Abdominal aortic aneurysm (AAA)
KW - Embolization
KW - Endoleak
KW - Type II endoleak
UR - http://www.scopus.com/inward/record.url?scp=85049210796&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049210796&partnerID=8YFLogxK
U2 - 10.21037/cdt.2017.08.06
DO - 10.21037/cdt.2017.08.06
M3 - Review article
AN - SCOPUS:85049210796
SN - 2223-3652
VL - 8
SP - S131-S137
JO - Cardiovascular Diagnosis and Therapy
JF - Cardiovascular Diagnosis and Therapy
ER -