Surgical Treatment of Sac Enlargement Due to Type II Endoleaks Following Endovascular Aneurysm Repair.
EVAR
endovascular embolization
open surgical conversion
stent graft
type 2 endoleak
Journal
Annals of vascular diseases
ISSN: 1881-641X
Titre abrégé: Ann Vasc Dis
Pays: Japan
ID NLM: 101471467
Informations de publication
Date de publication:
25 Mar 2023
25 Mar 2023
Historique:
received:
01
11
2022
accepted:
06
12
2022
medline:
4
4
2023
entrez:
3
4
2023
pubmed:
4
4
2023
Statut:
ppublish
Résumé
An aneurysm sac enlargement caused by type II endoleak (T2EL) following endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms may cause serious complications such as rupture. Consequently, methods that preoperatively prevent or postoperatively treat T2EL have been employed. When significant aneurysm enlargement occurs due to persistent T2EL, embolization is first performed through several access points. However, although these endovascular reinterventions have a high technical success rate and are safe, their effectiveness remains questionable. When such endovascular procedures fail to stabilize sac enlargement, open surgical conversion (OSC) becomes the last-resort treatment option. We review several strategies of OSC for the repair of T2EL following EVAR. Among the three main OSC procedures, namely, complete endograft removal, partial endograft removal, and complete endograft preservation, partial endograft removal under infrarenal clamping was considered the most appropriate owing to its less invasiveness and durability.
Identifiants
pubmed: 37006865
doi: 10.3400/avd.ra.22-00115
pmc: PMC10064304
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1-7Informations de copyright
© 2023 The Editorial Committee of Annals of Vascular Diseases.
Déclaration de conflit d'intérêts
Conflict of Interest StatementThe authors declare no conflicts of interest in association with the present study.
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