[Diagnosis and management of endoleak after endovascular repair of abdominal aortic aneurysm].
OBJECTIVE
To determine the diagnosis and management of endoleak after endovascular repair of abdominal aortic aneurysm (AAA).


METHODS
We analysed retrospectively the data of 37 cases of infrarenal AAA treated by endovascular repair and investigated the reasons, managements, results and prognosis of endoleaks.


RESULTS
Of 13 patients with endoleak at stent-graft deployment, 6 developed type I endoleak, 3 type II endoleak, 2 type III endoleak, 1 type IV endoleak, and 1 unknown reason. Type I and III endoleaks disappeared after management with additional techniques. The primary endoleak rate was 13.5%(5/37). Three sealed endoleak, 2 persistent endoleaks and 2 secondary endoleaks were found during follow up. The late endoleak rate was 10.8% (4/37).


CONCLUSIONS
Endoleak is a chief complication after endovascular repair of infrarenal AAA. The influencing factors for endoleak include neck morphology, distance, angulation, calcification, stent-graft selection and side branching arteries. Additional procedure and follow up are very important. Techniques to find endoleak include CTA, Duplex and MRA after operation. Endoleak with enlarged aneurysm should be treated actively.
Guo
W
W
Department of General Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
Liu
X
X
Kong
Q
Q
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy; D012189:Retrospective Studies