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Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 252
Views PDF: 912
DOI: https://doi.org/10.47972/vjcts.v21i.64
Issue
Vol. 21
Section
Research Article
How to Cite
Quang, N. V. ., Bao, D. D. ., & Anh, P. M. . (2020). Management endoleak after endovascular aneurysm repair. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 21, 58-62. https://doi.org/10.47972/vjcts.v21i.64

Management endoleak after endovascular aneurysm repair

Nguyen Van Quang , Duong Dinh Bao, Pham Minh Anh

Main Article Content

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).

Article Details

Keywords

Endovascular aneurysm repair (EVAR), endoleak

References

1. Becquemin J.P, Cochennec F, Marzelle J (2006), “Chirurgie endovasculaire des anévrismes de l’aorte abdominale”, Techniques chirurgicales - Chirurgie vasculaire, Elsevier Masson SAS.
2. De Bruin JL, Baas AF, Buth J, et al (2010), “Long-term outcome of open or endovascular repair of abdominal aortic aneurysm”. N Engl J Med; 362(20): 1881–1889.
3. El Batti S, Cochennec F, Roudot-Thoraval F, Becquemin JP (2013), “Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition”, J Vasc Surg.; 57(5): 1291–1297.
4. Elliot L. Chaikof, Ronald L. Dalman Mark K. Eskandari Benjamin M. Jackson (2017), “The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm”, Journal of vascular surgery, volume 67, Number 1.
5. Frank J. Veith, Richard A. Baum, Takao Ohki (2002), “Nature and significance of endoleaks and endotension: Summary of opinions expressed at an international conference”, J Vasc Surg; 35: 1029-35.
6. Lederle FA, Freischlag JA, Kyriakides TC et al (2012), “Long-termcomparison of endovascular and open repair of abdominal aortic aneurysm”, N Engl J Med; 367(21): 1988–1997.
7. Moll FL, Powell JT, Fraedrich G et al (2011), “Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery”, Eur J Vasc Endovasc Surg; 41 (Suppl 1): S1–S58.
8. Peter L. Faries, Hadley Cadot, Gautam Agarwal, K. Craig Kent, Larry H. Hollier, and Michael L. Marin (2003) “Management of endoleak after endovascular aneurysm repair: Cuffs, coils, and conversion”, J Vasc Surg; 37: 1155-61.
9. Sidloff DA, Gokani V, Stather PW, Choke E, Bown MJ, Sayers RD (2014), “Type II endoleak: conservative management is a safe strategy”. Eur J Vasc Endovasc Surg; 48(4): 391–399.
10. Stather PW, Sidloff D, Dattani N, Choke E, Bown MJ, Sayers RD (2013), “Systematic revie and meta-analysis of the early and late outcomes of open and endovascular repair of abdominal aortic aneurysm”, Br J Surg; 100(7): 863–872.