Type II endoleaks: Diagnosis and treatment algorithm

Yolanda Bryce, Brian Schiro, Kyle Cooper, Suvranu Ganguli, Mamdouh Khayat, Cuong Ken Lam, Rahmi Oklu, Geogy Vatakencherry, Ripal T. Gandhi

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)S131-S137
JournalCardiovascular Diagnosis and Therapy
Volume8
DOIs
StatePublished - Apr 2018

Keywords

  • Abdominal aortic aneurysm (AAA)
  • Embolization
  • Endoleak
  • Type II endoleak

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Bryce, Y., Schiro, B., Cooper, K., Ganguli, S., Khayat, M., Lam, C. K., Oklu, R., Vatakencherry, G., & Gandhi, R. T. (2018). Type II endoleaks: Diagnosis and treatment algorithm. Cardiovascular Diagnosis and Therapy, 8, S131-S137. https://doi.org/10.21037/cdt.2017.08.06