Endoleaks after endovascular aortic stent-grafting: impact, diagnosis, and management.
Endoleaks and endotension remain the primary limitation of endovascular aortic repair with stent-grafts. Consequently, all endovascular surgeons performing thoracic or abdominal endovascular aortic repairs require a comprehensive knowledge and understanding of how to survey and manage endoleaks. The derivation of the current endoleak classification scheme, the clinical impact of endoleaks, the diagnostic tools relevant to endoleak detection, an endoleak surveillance protocol, and the strategies in use for their management are outlined in this review.
University of Pittsburgh School of Medicine, Center for Thoracic Aortic Disease, UPMC, Pittsburgh, Pennsylvania 15213, USA. gleasontg@upmc.edu
Thomas G
TG
Gleason
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000266:history / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000266:history / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000266:history; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000266:history / Q000295:instrumentation*; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents / Q000266:history; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome