Management endoleak after endovascular aneurysm repair

Nguyen Van Quang, Duong Dinh Bao, Pham Minh Anh

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Abstract

There were 68 EVAR procedures with mean age 73.6 ± 3.1; 76.47% were male. Nineteen cases (27.9%) of endoleak were detected intraoperative (6 cases of type IA, 2 cases of type IB, 8 cases of type II, 3 cases of type III). There were 3 cases of type IA and 3 cases of type III treated effectively with balloon dilation, 3 cases of type IA were treated by insertion of aortic cuff, 2 cases of type IB were inserted an extension stent graft. There were 3 cases (4.41%) needed reintervention: 1 case of type IA with aortic cuff, 1 case of type IB with an extension stent graft, 1 case of type II with aneurysm size enlargement with coils embolization. The remaining cases were stable (no aneurysm rupture, no aneurysm related mortality). Endoleak is a common complication after EVAR and can be treated effectively by interventions (balloon dilatation, aortic cuff, extension stent graft, embolization).

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References

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