Controversies in the management of type II "branch" endoleaks following endovascular abdominal aortic aneurysm repair.
Successful endovascular aortic aneurysm repair (EVAR) is often defined as complete exclusion of blood flow within the aneurysm sac. Perigraft flow, also known as endoleak, is the most common complication following EVAR. Attachment site related endoleaks (type I) are generally considered to warrant some form of intervention due to the belief that they represent a risk for future rupture. Management of type II endoleaks, also known as branch or collateral endoleaks, is more controversial. Some advocate a policy of watchful-waiting whereas others treat all type II endoleaks as soon as they are discovered. The following review explores the controversies pertaining to the management, diagnosis and surveillance imaging, and treatment of type II endoleaks.
Maldonado
Thomas S
TS
Division of Vascular Surgery, New York University School of Medicine, New York, NY, USA.
Gagne
Paul J
PJ
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001291:Attitude of Health Personnel; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D011183:Postoperative Complications; D011475:Prosthesis Failure