Online ISSN 2313-1519
Print    ISSN 1812-2892
Abstract - Giant thoracoabdominal aortic aneurysm after endovascular repair
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Calin Pop, Sabin Nemes Bota

ABSTRACT

Endoleak defined as residual blood flow in the “aneurysm sac” is the most frequent complication and occurs in 10 to 44% of all patients after endovascular repair of abdominal aortic aneurysms. Based on the origin of the blood flow to the aneurysm sac there are 4 types: those with at less 10mm progression per year thought to be at risk of rupture and mandates correction. Screening for endoleaks is usually performed with CT or MR angiography. Endoleaks treatment is a real clinical challenge and until solutions are found, endovascular repair will remain an imperfect long-term treatment and continued follow-up will be mandatory.

Key words:  abdominal aortic aneurysms, endovascular repair, endoleaks

Corresponding Author: Ass. Pr. Calin Pop, MD, PhD, Cardiology Department, Emergency Clinical County Hospital of Baia Mare, George Cosbuc Street nr 31, Baia Mare 430110, Romania. Tel.: 0040744515794. E-mail: medicbm@yahoo.com

References

1. Gelfand DV, White GH, Wilson SE. Clinical significance of type II endoleak after endovascular repair of abdominal aortic aneurysm. Ann Vasc Surg. 2006; 20(1):69–74. https://doi.org/10.1007/s10016-005-9382-z

2. Wanhainen A, et al. European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. European Journal of Vascular and Endovascular Surgery. 2019; 57(1):8-93. https://doi.org/10.1016/j.ejvs.2018.09.020

3. Chen, J., Stavropoulos, S. W. Management of Endoleaks. Seminars in interventional radiology. 2015; 32(3):259–264. https://doi.org/10.1055/s-0035-1556825

Volume 3, Number 57 (2020)