Endoleaks after endovascular abdominal aortic aneurysm repair

Jakub Tomasz Kramek; Hubert Stępak; Grzegorz Oszkinis

doi:10.20883/jms.2017.150

Authors

Jakub Tomasz Kramek WL I, 2nd year, University of Medical Sciences, Poznan, Poland
Hubert Stępak Department of General and Vascular Surgery Poznan, University of Medical Sciences, Poznan, Poland.
Grzegorz Oszkinis Department of General and Vascular Surgery, Poznan University of Medical Sciences

DOI:

https://doi.org/10.20883/jms.2017.150

Keywords:

Endoleak, EVAR, Abdominal Aortic Aneurysm (AAA)

Abstract

Traditional surgical repair and endovascular repair (EVAR) are the treatment options for abdominal aortic aneurysm repair. EVAR as less invasive becomes a significant and widely accepted way of treatment aortic aneurysms with expanding number of procedures. This technique has a lover short-term mortality and a shorter hospital stay but is not free from complications. The most common complication after EVAR are endoleaks. For the first time summarised and assessed in 1997. Although it is often asymptomatic but may cause aneurysm expanding and rupture. Endoleak is defined as persistent blood flow into the aneurysm sac. It can be revealed intra-operatively or during the follow up – CT; arteriography, angio-MRI enables endoleak diagnosis. Usage of duplex sonography is questionable. In this mini-review we summarise endolek diagnostic, classification and treatment options.

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