[en] Endoleaks represent the most common complication of endovascular aortic aneurysm repair. With the increasing use of endovascular techniques for aortic aneurysm repair, the prevalence of endoleaks has risen. While maintaining pressurization of the aneurysm sac, endoleaks expose to persistent risks of an evolution towards rupture. Long-term surveillance with imaging studies is necessary to reduce the incidence of these specific complications that may require intervention. The objective of this article is to draw the attention to the possible occurrence of these complications and to report the elements of diagnosis and treatment.
Disciplines :
Surgery
Author, co-author :
BRULS, Samuel ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
CREEMERS, Etienne ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
TROTTEUR, Geneviève ; Centre Hospitalier Universitaire de Liège - CHU > Imagerie médicale
Creemers E, Trotteur GB, Dondelinger RF. - Le traitement endovasculaire des anévrysmes de l'aorte abdominale à l'université de Liège. Rev med Lg, 2007, 62, 26-29.
White GH, Yu W, May J, et al. - Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms : classification, incidence, diagnosis and management. J Endovas Surg, 1997, 4, 152-168. (Pubitemid 27247069)
White GH, May J, Waugh RC, et al. - Type I and type II endoleak: A more useful classification for reporting results of endoluminal AAA repair. J Endovasc Surg, 1998, 5, 189-193.
Veith FJ, Baum RA, Ohki T, et al. - Nature and significance of endoleaks and endotension : summary of opinions expressed at an international conference. J Vasc Surg, 2002, 35, 1029-1035. (Pubitemid 44718580)
Buth J, Harris PL, Van Marrewijk C, et al. - The significance of different types of endoleaks: From the EUROSTAR data registry. Seminars in Vasc Surg, 2003, 16, 95-101.
Cao P, De Rango P, Verzini F, Parlani G. - Endoleak after endovascular aortic repair : classification, diagnosis and management following endovascular thoracic and abdominal aortic repair. J Cardiovasc Surg, 2010, 51, 53-69.
Parmer SS, Carpenter JP, Stavropoulos SW, et al. - Endoleaks after endovascular repair of thoracic aortic aneurysms. J Vasc Surg, 2006, 44, 447-452. (Pubitemid 44293207)
Van Manewijk C, Buth J, Harris PL. - Significiance of endoleaks after endovascular repair of abdominal aortic aneurysms : the Eurostar experience. J Vasc Surg, 2002, 35, 461-473. (Pubitemid 46098519)
Makaroun M, Zajko A, Sugimoto, et al. - Fate of endoleaks after endoluminal repair of abdominal aortic aneurysms with an EVT device. Eur J Vas Endovasc Surg, 1999, 18, 185-190. (Pubitemid 29431341)
Baum RA, Carpenter JP, Cope C, et al. - Aneurysm sac pressure measurements after endovascular repair of abdominal aortic aneurysms. J Vasc Surg, 2001, 33, 32-41. (Pubitemid 32109604)
Resch T, Ivancev K, Brunkwall J, et al. - Midterm changes in aortic aneurysm morphology after endovascular repair. J Endovasc Ther, 2000, 7, 279-285. (Pubitemid 30637860)
Dias NV, Ivencev K, Kölbel T, et al. - Intra-aneurysm sac pressure in patients with unchanged AAA diameter after EVAR. Eur J Vasc Endovasc Surg, 2010, 39, 35-41.
Dias NV, Ivancev K, Malina M, et al. - Intra-aneurysm sac pressure measurements after endovascular aneurysm repair: differences between shrinking, unchanged, and expanding aneurysms with and without endoleaks. J Vasc Surg, 2004, 39, 1229-1235. (Pubitemid 38952589)
Hinnen JW, Koning OHJ, Van Bockel JH, et al. - Aneurysm sac pressure after EVAR : the role of endoleak. Eur J Vasc Endovasc Surg, 2007, 34, 432-441. (Pubitemid 47400234)
Gilling-Smith GL, Martin J, Harris PL, et al. - Freedom from endoleak after endovascular aneurysm repair does not equal treatment success. Eur J Vasc Endovasc Surg, 2000, 19, 421-425. (Pubitemid 30232616)
White GH, May J, Petrasek P, et al. - Endotension : an explanation for continued AAA growth after successful endoluminal repair. J Endovasc Surg, 1999, 6, 308-315. (Pubitemid 30421298)
Cuypers PWM, Laheij RJF, Buth J. - Which factors increase the risk of conversion to open surgery following endovascular abdominal aortic aneurysm repair? The EUROSTAR Collaborators. Eur J Vasc Endovasc Surg, 2000, 20, 183-189. (Pubitemid 30649648)
Stavropoulos SW, charagundla SR. - Imaging techniques for detection and management of endoleaks after endovascular aneurysm repair. Radiology, 2007, 243, 641-655. (Pubitemid 46799417)
Dias NV, Ivancev K, Malina M, et al. - Direct intra-aneurysm sac pressure measurement using tippressure sensors: in vivo and in vitro evaluation. J Vasc Surg, 2004, 40, 711-716. (Pubitemid 39311638)
Parodi JC. - Long-term outcome after aortic repair : the Buenos Aires Experience. Seminars in Vasc Surg, 2003, 16, 113-122. (Pubitemid 36736113)
Zimpfer D, Schoder M, Gottardi R, et al. - Treatment of type V endoleaks by endovascular redo stent-graft placement. Ann Thorac Surg, 2007, 83, 664-666. (Pubitemid 46135400)