+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Strategies of endoleak management following endoluminal treatment of abdominal aortic aneurysms in 95 patients: how, when and why

, : Strategies of endoleak management following endoluminal treatment of abdominal aortic aneurysms in 95 patients: how, when and why. La Radiologia Medica 113(7): 1029-1042

This study reviews, on the basis of our experience, the indications and options for treating endoleaks (EL) after endovascular repair of abdominal aortic aneurysms (AAA) by endografting. Ninety-five patients (M/F =92/3; mean age at time of operation 70.7+/-7.8 years) who underwent endovascular repair of infrarenal AAA between April 1997 and October 2004 were considered. All images of 420 pre-and postoperative computed tomography (CT) studies were reviewed. A total of 37 EL occurred in 33/95 patients (34.7%), four of whom had two EL of different types. Eighteen EL were treated, 16 by endoluminal treatment. Six EL were type I: 2 were treated by percutaneous transluminal angioplasty (PTA) and 4 by cuff deployment (2 proximal cuffs and 2 distal cuffs). Eight EL were type II: 2 were treated by PTA, 2 by cuff deployment, 1 by transcatheter coil embolisation of the inferior mesenteric artery, two by thrombin injection in the aneurysm sac and one underwent surgical conversion during an attempt to treat a concomitant type I EL. Finally, 2 EL were type III: 1 was treated by PTA and 1 by cuff deployment. Endovascular treatment was successful in 12/16 cases (75%), whereas 3/16 cases (18.8%) were converted to open surgery, and 1 patient died of AAA rupture the day after endovascular repair. EL is the most common complication after endovascular repair of AAA. In type I and type III EL, treatment is mandatory, whereas in type II (and type V) EL, treatment is indicated in the presence of AAA enlargement. Type IV EL generally disappear spontaneously. Endovascular repair is feasible and can be performed with different techniques according to EL aetiology, but it is not always decisive, and in some cases surgical conversion is required.


PMID: 18795234

DOI: 10.1007/s11547-008-0317-y

Other references

Horton G.M.J.; Brandt W.E., 1981: Lasalocid or monensin for finishing steers fed a high silage diet. Journal of Animal Science 53(SUPPL 1): 406

Pössnerová, V., 1970: Some observations on the viability of human polymorphonuclears wihh prolonged survival in vitro. Physiologia Bohemoslovaca 19(4): 299-302

Ball Andrew J.; Franchi Ian A.; Murray John B., 2007: Integrated studies of Phobos and Deimos; remote, in situ and laboratory investigations. LPI Contribution Pages 9

Emerson, Haven, 1927: Seasonal variation in growth of school children. Monthly records for 12 consecutive mo. of height, weight, diet, and sickness of 833 children, 5-10 yrs. of age, in Honolulu, New York City, and Toronto, were correlated with records of sunshine and other atmospheric factors. The evidence does not...

Power, M.L.; Heaney, R.P.; Kalkwarf, H.J.; Pitkin, R.M.; Repke, J.T.; Tsang, R.C.; Schulkin, J., 1999: The role of calcium in health and disease. Skeletal fragility at the end of the life span (osteoporosis) is a major source of morbidity and mortality. Adequate calcium intake from childhood to the end of the life span is critical for the formation and retention of a healthy skeleton. High...

Varela Irijoa, F., 1986: Vascular epidemiologic study. An analysis in 700 males. Incidence of varices. Angiologia 38(5): 247-267

Vercelletto, M.; Belliard, S.; Wiertlewski, S.; Venisse, T.; Magne, C.; Duyckaerts, C.; Damier, P., 2003: Neuropsychological and scintigraphic aspects of frontotemporal dementia preceding amyotrophic lateral sclerosis. Between 1993 and 2001, we observed fifteen patients (ten men and five women, mean age 63 years) with frontotemporal dementia (FTD) which preceded signs of amyotrophic lateral sclerosis (ALS) which developed 21 months later. Mean disease duration i...

Pak, V.; Starodubtsev, V.; Usachev, A.; Sokolov, S., 1973: Water and salt regime of soils with basin irrigation in the Primorye zone of the Guryev Region. Izvestiia Seriia biologicheskaia: 5 30-36

Memmolo, P.; Paturzo, M.; Javidi, B.; Netti, P.A.; Ferraro, P., 2015: Refocusing criterion via sparsity measurements in digital holography. Several automatic approaches have been proposed in the past to compute the refocus distance in digital holography (DH). However most of them are based on a maximization or minimization of a suitable amplitude image contrast measure, regarded as a...

Friedbichler, K.; Hoelbl, A.; Li, G.; Bunting, K.D.; Sexl, V.; Gouilleux, F.; Moriggl, R., 2011: Serine phosphorylation of the Stat5a C-terminus is a driving force for transformation. Persistent tyrosine phosphorylation of Stat3 and Stat5 is associated with oncogenic activity. Phosphorylation of the conserved tyrosine residue (pTyr) was long believed to be the only essential prerequisite to promote activation and nuclear transl...