A novel treatment approach to a type II endoleak at endograft implantation using components of an endosensor monitoring device.
OBJECTIVE
There continues to be debate regarding optimal management of type II endoleaks following endovascular abdominal aortic aneurysm repair.


METHODS
We present an intraoperative treatment approach to type II endoleaks using components of the EndoSure Intrasac Pressure Monitor System. Our technique can easily be reproduced with commercially available guidewires and catheters. We also present a literature review that identifies type II endoleak characteristics associated with a high rate of persistence (high-risk endoleaks) and could benefit from early treatment.


CONCLUSIONS
If a high-risk type II endoleak is identified intraoperatively, those patients may benefit from our model of an early intervention strategy. Early definitive treatment of the endoleaks could result in lower morbidity and reintervention rates.
Louwers
Lisa M
LM
William Beaumont Hospital, Royal Oak, MI 48073, USA. Lisa.Louwers@beaumont.edu
Seder
Christopher W
CW
Bove
Paul G
PG
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D057867:Endoleak / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative / Q000295:instrumentation*; D011237:Predictive Value of Tests; D014160:Transducers, Pressure; D016896:Treatment Outcome