Catheter-based treatments of endoleaks.
At the present time, patients who have undergone endovascular aneurysm repair require lifelong surveillance. The purpose of this surveillance is threefold. First, has there been any change in the position of the endograft? Secondly, what is the status of the aneurysm sac? Thirdly, is there an endoleak? How the patient is managed depends on the answers to these three questions. Managing patients with endoleaks remains a challenging clinical problem. Decisions on these patients depend on the type of leak and the status of the aneurysm sac. This manuscript will review what is currently known about endoleaks and use this information to develop algorithms of how patients should be treated.
Stavropoulos
S William
SW
Brigham and Womens Hospital, Boston, MA 02115, USA.
Baum
Richard A
RA
D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D011475:Prosthesis Failure; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome