title: Towards an entirely endovascular aortic world: an update of techniques and outcomes for endovascular and open treatment of type I, II, and III endoleaks.
abstract: Endovascular aneurysm repair (EVAR) is largely the most adopted strategy for aneurysmal disease of the aorta. Nevertheless, the high incidence of reintervention makes it difficult to identify EVAR as a definitive solution; in particular, the most frequent indication of reintervention is endoleak, which is defined as persistent flow into the aneurysmal sac from different sources. Several treatment strategies are described. A contemporary literature search was performed with the intent of describing techniques and outcomes of endovascular and open strategies to type I, II, and III endoleak. Described techniques and outcomes were organized by indication (type I, II, and III endoleak) and by type of approach (endovascular, open, and laparoscopic) to give an overview of the current status of the treatment for the three most frequent types of endoleak. Several endovascular means are described in the literature for the treatment of endoleak.
authors.affiliation: Department of Vascular Surgery, San Filippo Neri Hospital, Rome, Italy - dr.orrico.matteo@gmail.com.
authors.forename: Nicola
authors.initials: N
authors.lastname: Mangialardi
authors.forename: Matteo
authors.initials: M
authors.lastname: Orrico
authors.forename: Sonia
authors.initials: S
authors.lastname: Ronchey
authors.forename: Barbara
authors.initials: B
authors.lastname: Praquin
authors.forename: Vittorio
authors.initials: V
authors.lastname: Alberti
authors.forename: Carlo
authors.initials: C
authors.lastname: Setacci
mesh_terms: D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000639:trends; D061887:Conversion to Open Surgery / Q000009:adverse effects / Q000639:trends; D004059:Diffusion of Innovation; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000639:trends; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000639:trends; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000639:trends; D011474:Prosthesis Design; D012086:Reoperation; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome