[Classification and treatment of endoleaks after endovascular treatment of abdominal aortic aneurysms].
This article describes the classification of endoleaks after endovascular treatment of abdominal aortic aneurysms, thereby summarizing the most important problems of this endovascular technique. The correct classification of endoleaks is a prerequisite for interdisciplinary discussion. It is indispensable for professional reporting of the pathological findings and for the decision making as to the adequate treatment of endoleaks. Irrespective of the types of stent graft and property of the material, five endoleak types are defined in the literature: leakage at the anchor sites (type I); leakage due to collateral arteries (type II); defective stent grafts (type III); leakage due to porosity of the graft material (type IV); and endotension (type V). The causes of endoleaks are discussed and treatment options are reviewed for the diverse pathologic findings.
Pitton
M B
MB
Klinik für Radiologie, Klinikum der Johannes Gutenberg-Universität Mainz. pitton@radiologie.klinik.uni-mainz.de
Schmiedt
W
W
Neufang
A
A
Düber
C
C
Thelen
M
M
D000497:Alloys; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D002404:Catheterization; D003097:Collateral Circulation; D004621:Embolization, Therapeutic; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D015607:Stents / Q000009:adverse effects; D013997:Time Factors
D000497:Alloys; C013616:nitinol