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Published in: CardioVascular and Interventional Radiology 3/2015

01-06-2015 | Review/State of the Art

Type 2 Endoleaks Post-EVAR: Current Evidence for Rupture Risk, Intervention and Outcomes of Treatment

Authors: Raymond Chung, Robert A. Morgan

Published in: CardioVascular and Interventional Radiology | Issue 3/2015

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Abstract

Type 2 endoleaks (EL2) are the most commonly encountered endoleaks following EVAR. Despite two decades of experience, there remains considerable variation in the management of EL2 with controversies ranging from if to treat, when to treat and how to treat. Here, we summarise the available evidence, describe the treatment techniques available and offer guidelines for management.
Literature
1.
go back to reference Timaran CH, Ohki T, Rhee SJ, Veith FJ, Gargiulo NJ, Toriumi H, Malas MB, Suggs WD, Wain RA, Lipsitz EC (2004) Predicting aneurysm enlargement in patients with persistent type II endoleaks. J Vasc Surg 39:1157–1162CrossRefPubMed Timaran CH, Ohki T, Rhee SJ, Veith FJ, Gargiulo NJ, Toriumi H, Malas MB, Suggs WD, Wain RA, Lipsitz EC (2004) Predicting aneurysm enlargement in patients with persistent type II endoleaks. J Vasc Surg 39:1157–1162CrossRefPubMed
2.
go back to reference Nevala T, Biancari F, Manninen H, Aho PS, Matsi P, Mäkinen K, Roth WD, Ylönen K, Lepäntalo M, Perälä J (2010) Type II endoleak after endovascular repair of abdominal aortic aneurysm: effectiveness of embolization. Cardiovasc Interv Radiol 33(2):278–284CrossRef Nevala T, Biancari F, Manninen H, Aho PS, Matsi P, Mäkinen K, Roth WD, Ylönen K, Lepäntalo M, Perälä J (2010) Type II endoleak after endovascular repair of abdominal aortic aneurysm: effectiveness of embolization. Cardiovasc Interv Radiol 33(2):278–284CrossRef
3.
go back to reference Warrier R, Miller R, Bond R, Robertson IK, Hewitt P, Scott A (2008) Risk factors for type II endoleaks after endovascular repair of abdominal aortic aneurysms. ANZ J Surg 78(1–2):61–63CrossRefPubMed Warrier R, Miller R, Bond R, Robertson IK, Hewitt P, Scott A (2008) Risk factors for type II endoleaks after endovascular repair of abdominal aortic aneurysms. ANZ J Surg 78(1–2):61–63CrossRefPubMed
4.
go back to reference Baum RA, Carpenter JP, Tuite CM, Velazquez OC, Soulen MC, Barker CF, Golden MA, Pyeron AM, Fairman RM (2000) Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms. Radiology 215:409–413CrossRefPubMed Baum RA, Carpenter JP, Tuite CM, Velazquez OC, Soulen MC, Barker CF, Golden MA, Pyeron AM, Fairman RM (2000) Diagnosis and treatment of inferior mesenteric arterial endoleaks after endovascular repair of abdominal aortic aneurysms. Radiology 215:409–413CrossRefPubMed
5.
go back to reference Rhee SJ, Ohki T, Veith FJ, Kurvers H (2003) Current status of management of type II endoleaks after endovascular repair of abdominal aortic aneurysms. Ann Vasc Surg 17:335–344CrossRefPubMed Rhee SJ, Ohki T, Veith FJ, Kurvers H (2003) Current status of management of type II endoleaks after endovascular repair of abdominal aortic aneurysms. Ann Vasc Surg 17:335–344CrossRefPubMed
6.
go back to reference Jones JE, Atkins MD, Brewster DC, Chung TK, Kwolek CJ, LaMuraglia GM, Hodgman TM, Cumbria RP (2007) Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes. J Vasc Surg 46:1–8CrossRefPubMed Jones JE, Atkins MD, Brewster DC, Chung TK, Kwolek CJ, LaMuraglia GM, Hodgman TM, Cumbria RP (2007) Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes. J Vasc Surg 46:1–8CrossRefPubMed
7.
go back to reference Arko FR, Rubin GD, Johnson BL, Hill BB, Fogarty TJ, Zarins CK (2001) Type-II endoleaks following endovascular AAA repair: preoperative predictors and long-term effects. J Endovasc Ther 8:503–510CrossRefPubMed Arko FR, Rubin GD, Johnson BL, Hill BB, Fogarty TJ, Zarins CK (2001) Type-II endoleaks following endovascular AAA repair: preoperative predictors and long-term effects. J Endovasc Ther 8:503–510CrossRefPubMed
8.
go back to reference Marrewijk CV, Fransen G, Laheij RJF, Harris PL, Buth J (2004) EUROSTAR collaborators. Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. Eur J Vasc Endovasc Surg 27:128–137CrossRefPubMed Marrewijk CV, Fransen G, Laheij RJF, Harris PL, Buth J (2004) EUROSTAR collaborators. Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. Eur J Vasc Endovasc Surg 27:128–137CrossRefPubMed
9.
go back to reference El Batti S, Cochennec F, Roudot-Thoraval F, Becquemin JP (2013) Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition. J Vasc Surg 57:1291–1298CrossRefPubMed El Batti S, Cochennec F, Roudot-Thoraval F, Becquemin JP (2013) Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition. J Vasc Surg 57:1291–1298CrossRefPubMed
10.
go back to reference Sadek M, Dexter DJ, Rockman CB, Hoang H, Mussa FF, Cayne NS, Jacobowitz GR, Veith FJ, Adelman MA, Maldonado TS (2013) Preoperative relative abdominal aortic aneurysm thrombus burden predicts endoleak and sac enlargement after endovascular aneurysm repair. Ann Vasc Surg 27(8):1036–1041CrossRefPubMed Sadek M, Dexter DJ, Rockman CB, Hoang H, Mussa FF, Cayne NS, Jacobowitz GR, Veith FJ, Adelman MA, Maldonado TS (2013) Preoperative relative abdominal aortic aneurysm thrombus burden predicts endoleak and sac enlargement after endovascular aneurysm repair. Ann Vasc Surg 27(8):1036–1041CrossRefPubMed
11.
go back to reference Wild JB, Dattani N, Stather P, Bown MJ, Sayers RD, Choke E (2013) Effect of anticoagulation and antiplatelet therapy on incidence of endoleaks and sac size expansions after endovascular aneurysm repair. Ann Vasc Surg 28(3):554–559CrossRefPubMed Wild JB, Dattani N, Stather P, Bown MJ, Sayers RD, Choke E (2013) Effect of anticoagulation and antiplatelet therapy on incidence of endoleaks and sac size expansions after endovascular aneurysm repair. Ann Vasc Surg 28(3):554–559CrossRefPubMed
12.
go back to reference Fairman RM, Carpenter JP, Baum RA, Larson RA, Golden MA, Barker CF, Mitchell ME, Velazguez OC (2002) Potential impact of therapeutic warfarin treatment on type II endoleaks and sac shrinkage rates on midterm follow-up examination. J Vasc Surg 35(4):679–685CrossRefPubMed Fairman RM, Carpenter JP, Baum RA, Larson RA, Golden MA, Barker CF, Mitchell ME, Velazguez OC (2002) Potential impact of therapeutic warfarin treatment on type II endoleaks and sac shrinkage rates on midterm follow-up examination. J Vasc Surg 35(4):679–685CrossRefPubMed
13.
go back to reference Muthu C, Maani J, Plank LD, Holden A, Hill A (2007) Strategies to reduce the rate of type II endoleaks: routine intraoperative embolization of the inferior mesenteric artery and thrombin injection into the aneurysm sac. J Endovasc Ther 14:661–668CrossRefPubMed Muthu C, Maani J, Plank LD, Holden A, Hill A (2007) Strategies to reduce the rate of type II endoleaks: routine intraoperative embolization of the inferior mesenteric artery and thrombin injection into the aneurysm sac. J Endovasc Ther 14:661–668CrossRefPubMed
14.
go back to reference Gould DA, McWilliams RG, Edwards RD et al (2001) Aortic side branch embolization before endovascular aneurysm repair: incidence of type II endoleak. J Vasc Interv Radiol 15:337–341CrossRef Gould DA, McWilliams RG, Edwards RD et al (2001) Aortic side branch embolization before endovascular aneurysm repair: incidence of type II endoleak. J Vasc Interv Radiol 15:337–341CrossRef
15.
go back to reference Bonvini R, Alerci M, Antonucci F, Tutta P, Wyttenbach R, Bogen M, Pelloni A, von Segesser L, Gallino A (2003) Preoperative embolization of collateral side branches: a valid means to reduce type II endoleaks after endovascular AAA repair. J Endovasc Ther 10:227–232CrossRefPubMed Bonvini R, Alerci M, Antonucci F, Tutta P, Wyttenbach R, Bogen M, Pelloni A, von Segesser L, Gallino A (2003) Preoperative embolization of collateral side branches: a valid means to reduce type II endoleaks after endovascular AAA repair. J Endovasc Ther 10:227–232CrossRefPubMed
16.
go back to reference Ronsivalle S, Faresin F, Franz F, Rettore C, Zanchetta M, Olivieri A (2010) Aneurysm sac “thrombization” and stabilization in EVAR: a technique to reduce the risk of type II endoleak. J Endovasc Ther 17:517–524CrossRefPubMed Ronsivalle S, Faresin F, Franz F, Rettore C, Zanchetta M, Olivieri A (2010) Aneurysm sac “thrombization” and stabilization in EVAR: a technique to reduce the risk of type II endoleak. J Endovasc Ther 17:517–524CrossRefPubMed
17.
go back to reference Sheehan MK, Hagino RT, Canby E, Wholey MH, Postoak D, Suri R, Toursarkissian B (2006) Type 2 endoleaks after abdominal aortic aneurysm stent grafting with systematic mesenteric and lumbar coil embolization. Ann Vasc Surg 20(4):458–463CrossRefPubMed Sheehan MK, Hagino RT, Canby E, Wholey MH, Postoak D, Suri R, Toursarkissian B (2006) Type 2 endoleaks after abdominal aortic aneurysm stent grafting with systematic mesenteric and lumbar coil embolization. Ann Vasc Surg 20(4):458–463CrossRefPubMed
18.
go back to reference Ward TJ, Cohen S, Fischman AM, Kim E, Nowakowski FS, Ellozy SH, Faries PL, Marin ML, Lookstein RA (2013) Preoperative inferior mesenteric artery embolization before endovascular aneurysm repair: decreased incidence of type II endoleak and aneurysm sac enlargement with 24-month follow-up. J Vasc Interv Radiol 24(1):49–55CrossRefPubMed Ward TJ, Cohen S, Fischman AM, Kim E, Nowakowski FS, Ellozy SH, Faries PL, Marin ML, Lookstein RA (2013) Preoperative inferior mesenteric artery embolization before endovascular aneurysm repair: decreased incidence of type II endoleak and aneurysm sac enlargement with 24-month follow-up. J Vasc Interv Radiol 24(1):49–55CrossRefPubMed
19.
go back to reference Alerci M, Giamboni A, Wyttenbach R, Porretta AP, Antonucci F, Bogen M, Toderi M, Guerra A, Sartori F, Tutta P, Inglese L, Limoni C, Gallino A, Segesser LKV (2013) Endovascular abdominal aneurysm repair and impact of systematic preoperative embolization of collateral arteries: endoleak analysis and long-term follow-up. J Endovasc Ther 20:663–671CrossRefPubMed Alerci M, Giamboni A, Wyttenbach R, Porretta AP, Antonucci F, Bogen M, Toderi M, Guerra A, Sartori F, Tutta P, Inglese L, Limoni C, Gallino A, Segesser LKV (2013) Endovascular abdominal aneurysm repair and impact of systematic preoperative embolization of collateral arteries: endoleak analysis and long-term follow-up. J Endovasc Ther 20:663–671CrossRefPubMed
20.
go back to reference Gelfand DV, White GH, Wilson SE (2006) Clinical significance of type II endoleak after endovascular repair of abdominal aortic aneurysm. Ann Vasc Surg 20(1):69–74CrossRefPubMed Gelfand DV, White GH, Wilson SE (2006) Clinical significance of type II endoleak after endovascular repair of abdominal aortic aneurysm. Ann Vasc Surg 20(1):69–74CrossRefPubMed
21.
go back to reference Parent FN, Meier GH, Godziachvili V, LeSar CJ, Parker FM, Carter KA, Gayle RG, DeMasi RJ, Marcinczyk MJ, Gregory RT (2002) The incidence and natural history of type I and II endoleak: a 5-year follow-up assessment with color duplex ultrasound scan. J Vasc Surg 35:474–481CrossRefPubMed Parent FN, Meier GH, Godziachvili V, LeSar CJ, Parker FM, Carter KA, Gayle RG, DeMasi RJ, Marcinczyk MJ, Gregory RT (2002) The incidence and natural history of type I and II endoleak: a 5-year follow-up assessment with color duplex ultrasound scan. J Vasc Surg 35:474–481CrossRefPubMed
22.
go back to reference Marchiori A, Ristow AV, Guimaraes M, Schonholz C, Uflacker R (2011) Predictive factors for the development of type II endoleaks. J Endovasc Ther 18:299–305CrossRefPubMed Marchiori A, Ristow AV, Guimaraes M, Schonholz C, Uflacker R (2011) Predictive factors for the development of type II endoleaks. J Endovasc Ther 18:299–305CrossRefPubMed
23.
go back to reference Marrewijk CV, Buth J, Harris PL, Norgren L, Nevelsteen A, Wyatt MG (2002) Significance of endoleaks after endovascular repair of abdominal aortic aneurysms: the EUROSTAR experience. J Vasc Surg 35:461–473CrossRefPubMed Marrewijk CV, Buth J, Harris PL, Norgren L, Nevelsteen A, Wyatt MG (2002) Significance of endoleaks after endovascular repair of abdominal aortic aneurysms: the EUROSTAR experience. J Vasc Surg 35:461–473CrossRefPubMed
24.
go back to reference Ferrari M, Sardella SG, Berchiolli R, Adami D, Vignali C, Napoli V, Serino F (2005) Surgical treatment of persistent type 2 endoleaks, with increase of the aneurysm sac: indications and technical notes. Eur J Vasc Endovasc Surg 29:43–46CrossRefPubMed Ferrari M, Sardella SG, Berchiolli R, Adami D, Vignali C, Napoli V, Serino F (2005) Surgical treatment of persistent type 2 endoleaks, with increase of the aneurysm sac: indications and technical notes. Eur J Vasc Endovasc Surg 29:43–46CrossRefPubMed
25.
go back to reference Greenhalgh RM (2010) The United Kingdom EVAR trial investigators. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med 362:1863–1871CrossRefPubMed Greenhalgh RM (2010) The United Kingdom EVAR trial investigators. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med 362:1863–1871CrossRefPubMed
26.
go back to reference Wyss TR, Brown LC, Powell JT, Greenhalgh RM (2010) Rate and predictability of graft rupture after endovascular and open aortic aneurysm repair: data from the EVAR trials. Ann Surg 252:805–812CrossRefPubMed Wyss TR, Brown LC, Powell JT, Greenhalgh RM (2010) Rate and predictability of graft rupture after endovascular and open aortic aneurysm repair: data from the EVAR trials. Ann Surg 252:805–812CrossRefPubMed
27.
go back to reference Sidloff DA, Stather PW, Choke E, Bown MJ, Sayers RD (2013) Type II endoleak after endovascular aneurysm repair. Br J Surg 100(10):1262–1270CrossRefPubMed Sidloff DA, Stather PW, Choke E, Bown MJ, Sayers RD (2013) Type II endoleak after endovascular aneurysm repair. Br J Surg 100(10):1262–1270CrossRefPubMed
28.
go back to reference Nolz R, Teufelsbauer H, Asenbaum U, Bietzke D, Funovics M, Wibner A, Plank C, Prusa AM, Lammer J, Schoder M (2012) Type II endoleaks after endovascular repair of abdominal aortic aneurysms: fate of the aneurysm sac and neck changes during follow-up. J Endovasc Ther 19:193–199CrossRefPubMed Nolz R, Teufelsbauer H, Asenbaum U, Bietzke D, Funovics M, Wibner A, Plank C, Prusa AM, Lammer J, Schoder M (2012) Type II endoleaks after endovascular repair of abdominal aortic aneurysms: fate of the aneurysm sac and neck changes during follow-up. J Endovasc Ther 19:193–199CrossRefPubMed
29.
go back to reference Wilmot A, Stavropoulous SW (2007) Embolization of a recurrent type 2 endoleak using the liquid embolic n-butyl cyanoacrylate. Semin Interv Radiol 24:38–42CrossRef Wilmot A, Stavropoulous SW (2007) Embolization of a recurrent type 2 endoleak using the liquid embolic n-butyl cyanoacrylate. Semin Interv Radiol 24:38–42CrossRef
30.
go back to reference Barbiero G, Baratto A, Ferro F, Dall’Acqua J, Fittà C, Miotto D (2008) Strategies of endoleak management following endoluminal treatment of abdominal aortic aneurysms in 95 patients: how, when and why. Radiol Med 113(7):1029–1042CrossRefPubMed Barbiero G, Baratto A, Ferro F, Dall’Acqua J, Fittà C, Miotto D (2008) Strategies of endoleak management following endoluminal treatment of abdominal aortic aneurysms in 95 patients: how, when and why. Radiol Med 113(7):1029–1042CrossRefPubMed
31.
go back to reference Buth J, Harris PL, Van Marrewijk C, Fransen G (2003) Endoleaks during follow-up after endovascular repair of abdominal aortic aneurysm. Are they all dangerous? J Cardiovasc Surg 44(4):559–566 Buth J, Harris PL, Van Marrewijk C, Fransen G (2003) Endoleaks during follow-up after endovascular repair of abdominal aortic aneurysm. Are they all dangerous? J Cardiovasc Surg 44(4):559–566
32.
go back to reference Mandziak DM, Stanley BM, Foreman RK, Walsh JA, Burnett JR (2004) Outcome of endoleak following endoluminal abdominal aortic aneurysm repair. ANZ J Surg 74(12):1039–1042CrossRefPubMed Mandziak DM, Stanley BM, Foreman RK, Walsh JA, Burnett JR (2004) Outcome of endoleak following endoluminal abdominal aortic aneurysm repair. ANZ J Surg 74(12):1039–1042CrossRefPubMed
33.
go back to reference Rayt HS, Sandford RM, Salem M, Bown MJ, London NJ, Sayers RD (2009) Conservative management of type 2 endoleaks is not associated with increased risk of aneurysm rupture. Eur J Vasc Endovasc Surg 38:718–723CrossRefPubMed Rayt HS, Sandford RM, Salem M, Bown MJ, London NJ, Sayers RD (2009) Conservative management of type 2 endoleaks is not associated with increased risk of aneurysm rupture. Eur J Vasc Endovasc Surg 38:718–723CrossRefPubMed
34.
go back to reference Baum RA, Carpenter JP, Cope C, Golden MA, Velazquez OC, Neschis DG et al (2001) Aneurysm sac pressure measurements after endovascular repair of abdominal aortic aneurysms. J Vasc Surg 33:32–41CrossRefPubMed Baum RA, Carpenter JP, Cope C, Golden MA, Velazquez OC, Neschis DG et al (2001) Aneurysm sac pressure measurements after endovascular repair of abdominal aortic aneurysms. J Vasc Surg 33:32–41CrossRefPubMed
35.
go back to reference Görich J, Rilinger N, Sokiranski R, Krämer S, Schütz A, Sunder-Plassmann L, Pamler R (2000) Embolization of type II endoleaks fed by the inferior mesenteric artery: using the superior mesenteric artery approach. J Endovasc Ther 7:297–301CrossRefPubMed Görich J, Rilinger N, Sokiranski R, Krämer S, Schütz A, Sunder-Plassmann L, Pamler R (2000) Embolization of type II endoleaks fed by the inferior mesenteric artery: using the superior mesenteric artery approach. J Endovasc Ther 7:297–301CrossRefPubMed
36.
go back to reference Schurink GW, Aarts NJ, Wilde J, van Baalen JM, Chuter TA, Schultze Kohl LJ et al (1998) Endoleakage after stent-graft treatment of abdominal aneurysm. Implications on pressure and imaging-an in vitro study. J Vasc Surg 28:234–241CrossRefPubMed Schurink GW, Aarts NJ, Wilde J, van Baalen JM, Chuter TA, Schultze Kohl LJ et al (1998) Endoleakage after stent-graft treatment of abdominal aneurysm. Implications on pressure and imaging-an in vitro study. J Vasc Surg 28:234–241CrossRefPubMed
37.
go back to reference Li Z, Kleinsteuer C (2006) Computational analysis of type II endoleaks in a stented abdominal aortic aneurysm model. J Biomech 39:2573–2582CrossRefPubMed Li Z, Kleinsteuer C (2006) Computational analysis of type II endoleaks in a stented abdominal aortic aneurysm model. J Biomech 39:2573–2582CrossRefPubMed
38.
go back to reference Knowles M, Pellisar T, Murphy EH, Stanely GA, Hashmi AF, Arko Z, Arko FR III (2011) In vitro analysis of type II endoleaks and aneurysm sac pressurization on longitudinal stent-graft displacement. J Endovasc Ther 18:601–606CrossRefPubMed Knowles M, Pellisar T, Murphy EH, Stanely GA, Hashmi AF, Arko Z, Arko FR III (2011) In vitro analysis of type II endoleaks and aneurysm sac pressurization on longitudinal stent-graft displacement. J Endovasc Ther 18:601–606CrossRefPubMed
39.
go back to reference Karthikesalingam A, Thrumurthy SGH, Jackson D, Sayers RD, Loftus IM, Thompson MM, Holt PJ (2012) Current evidence is insufficient to define an optimal threshold for intervention in isolated type II endoleak after endovascular aneurysm repair. J Endovasc Ther 19(2):200–208CrossRefPubMed Karthikesalingam A, Thrumurthy SGH, Jackson D, Sayers RD, Loftus IM, Thompson MM, Holt PJ (2012) Current evidence is insufficient to define an optimal threshold for intervention in isolated type II endoleak after endovascular aneurysm repair. J Endovasc Ther 19(2):200–208CrossRefPubMed
40.
go back to reference Lawrence-Brown MM, Sun Z, Semmens JB, Liffman K, Šutalo ID, Hartley DB (2009) Type II endoleaks: when is Intervention Indicated and What Is the Index of Suspicion for Types I or III? J Endovasc Ther 16(Suppl 1):106–118 Lawrence-Brown MM, Sun Z, Semmens JB, Liffman K, Šutalo ID, Hartley DB (2009) Type II endoleaks: when is Intervention Indicated and What Is the Index of Suspicion for Types I or III? J Endovasc Ther 16(Suppl 1):106–118
41.
go back to reference Steinmetz E, Rubin BG, Sanchez LA, Choi ET, Geraghty PJ, Baty J, Thompson RW, Flye MW, Hovsepian DM, Picus D, Sicard GA (2004) Type II endoleak after endovascular abdominal aortic aneurysm repair: a conservative approach with selective intervention is safe and cost-effective. J Vasc Surg 39:306–313CrossRefPubMed Steinmetz E, Rubin BG, Sanchez LA, Choi ET, Geraghty PJ, Baty J, Thompson RW, Flye MW, Hovsepian DM, Picus D, Sicard GA (2004) Type II endoleak after endovascular abdominal aortic aneurysm repair: a conservative approach with selective intervention is safe and cost-effective. J Vasc Surg 39:306–313CrossRefPubMed
42.
go back to reference Buth J, Harris PL, van Marrewijk C, Fransen G (2003) The significance and management of different types of endoleaks. Semin Vasc Surg 16(2):95–102CrossRefPubMed Buth J, Harris PL, van Marrewijk C, Fransen G (2003) The significance and management of different types of endoleaks. Semin Vasc Surg 16(2):95–102CrossRefPubMed
43.
go back to reference Abularrage CJ, Patel VI, Conrad MF, Schneider EB, Cambria RP, Kwolek CJ (2012) Improved results using Onyx glue for the treatment of persistent type 2 endoleak after endovascular aneurysm repair. J Vasc Surg 56:630–636CrossRefPubMed Abularrage CJ, Patel VI, Conrad MF, Schneider EB, Cambria RP, Kwolek CJ (2012) Improved results using Onyx glue for the treatment of persistent type 2 endoleak after endovascular aneurysm repair. J Vasc Surg 56:630–636CrossRefPubMed
44.
go back to reference Stavropoulos SW, Kim H, Clark TW, Fairman RM, Belazquez O, Carpenter JP (2005) Embolization of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms with use of cyanoacrylate with or without coils. J Vasc Interv Radiol 16(6):857–861CrossRefPubMed Stavropoulos SW, Kim H, Clark TW, Fairman RM, Belazquez O, Carpenter JP (2005) Embolization of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms with use of cyanoacrylate with or without coils. J Vasc Interv Radiol 16(6):857–861CrossRefPubMed
45.
go back to reference Boks SS, Andhyiswara T, de Smet AA, Vroegindeweij D (2005) Ultrasound-guided percutaneous transabdominal treatment of a type 2 endoleak. Cardiovasc Interv Radiol 28(4):526–529CrossRef Boks SS, Andhyiswara T, de Smet AA, Vroegindeweij D (2005) Ultrasound-guided percutaneous transabdominal treatment of a type 2 endoleak. Cardiovasc Interv Radiol 28(4):526–529CrossRef
46.
go back to reference Martin ML, Dolmatch BL, Fry PD, Machan LS (2001) Treatment of type II endoleaks with Onyx. J Vasc Interv Radiol 12(5):629–632CrossRefPubMed Martin ML, Dolmatch BL, Fry PD, Machan LS (2001) Treatment of type II endoleaks with Onyx. J Vasc Interv Radiol 12(5):629–632CrossRefPubMed
47.
go back to reference Schmid R, Gurke L, Aschwanden M, Stierli P, Jacob AL (2002) CT-guided percutaneous embolization of a lumbar artery maintaining a type II endoleak. J Endovasc Ther 9:198–202PubMed Schmid R, Gurke L, Aschwanden M, Stierli P, Jacob AL (2002) CT-guided percutaneous embolization of a lumbar artery maintaining a type II endoleak. J Endovasc Ther 9:198–202PubMed
48.
go back to reference Scali ST, Vlada A, Chang CK, Beck AW (2013) Transcaval embolization as an alternative technique for the treatment of type II endoleak after endovascular aortic aneurysm repair. J Vasc Surg 57:869–874CrossRefPubMedCentralPubMed Scali ST, Vlada A, Chang CK, Beck AW (2013) Transcaval embolization as an alternative technique for the treatment of type II endoleak after endovascular aortic aneurysm repair. J Vasc Surg 57:869–874CrossRefPubMedCentralPubMed
49.
go back to reference van Bindsbergen L, Braak SJ, van Strijen MJ, de Vries JP (2010) Type II endoleak embolization after endovascular abdominal aortic aneurysm repair with use of real-time three-dimensional fluoroscopic needle guidance. J Vasc Interv Radiol 21(9):1443–1447CrossRefPubMed van Bindsbergen L, Braak SJ, van Strijen MJ, de Vries JP (2010) Type II endoleak embolization after endovascular abdominal aortic aneurysm repair with use of real-time three-dimensional fluoroscopic needle guidance. J Vasc Interv Radiol 21(9):1443–1447CrossRefPubMed
50.
go back to reference Katada Y, Kondo S, Takahashi S, Okita Y, Kagoshima A, Rokkaku K, Nozaki M (2013) Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique. J Endovasc Ther 20(1):34–38CrossRefPubMed Katada Y, Kondo S, Takahashi S, Okita Y, Kagoshima A, Rokkaku K, Nozaki M (2013) Direct percutaneous puncture embolization of type II endoleaks using a coaxial technique. J Endovasc Ther 20(1):34–38CrossRefPubMed
51.
go back to reference Massis K, Carson WG III, Rozas A, Patel V, Zwiebel B (2012) Treatment of type II endoleaks with ethylene-vinyl-alcohol copolymer (Onyx). Vasc Endovasc Surg 46(3):251–257CrossRef Massis K, Carson WG III, Rozas A, Patel V, Zwiebel B (2012) Treatment of type II endoleaks with ethylene-vinyl-alcohol copolymer (Onyx). Vasc Endovasc Surg 46(3):251–257CrossRef
52.
go back to reference Coppi G, Saitta G, Coppi G, Gennai S, Lauricella A, Silingardi R (2014) Transealing: a novel and simple technique for embolization of type 2 endoleaks through direct sac access from the distal stent-graft landing zone. Eur J Vasc Endovasc Surg 47(4):394–401CrossRefPubMed Coppi G, Saitta G, Coppi G, Gennai S, Lauricella A, Silingardi R (2014) Transealing: a novel and simple technique for embolization of type 2 endoleaks through direct sac access from the distal stent-graft landing zone. Eur J Vasc Endovasc Surg 47(4):394–401CrossRefPubMed
53.
go back to reference Quinones-Baldrich W, Levin ES, Lew W, Barleben A (2014) Intraprocedural and postprocedural perigraft arterial sac embolization (PASE) for endoleak treatment. J Vasc Surg 59(2):538–541CrossRefPubMed Quinones-Baldrich W, Levin ES, Lew W, Barleben A (2014) Intraprocedural and postprocedural perigraft arterial sac embolization (PASE) for endoleak treatment. J Vasc Surg 59(2):538–541CrossRefPubMed
54.
go back to reference Faries PL, Cadot H, Agarwal G, Kent KC, Hollier LH, Marin ML (2003) Management of endoleak after endovascular aneurysm repair: cuffs, coils, and conversion. J Vasc Surg 37:1155–1161CrossRefPubMed Faries PL, Cadot H, Agarwal G, Kent KC, Hollier LH, Marin ML (2003) Management of endoleak after endovascular aneurysm repair: cuffs, coils, and conversion. J Vasc Surg 37:1155–1161CrossRefPubMed
55.
go back to reference Haulon S, Tyazi A, Willoteaux S, Koussa M, Lions C, Beregi JP (2001) Embolization of type II endoleaks after aortic stent-graft implantation: technique and immediate results. J Vasc Surg 34:600–605CrossRefPubMed Haulon S, Tyazi A, Willoteaux S, Koussa M, Lions C, Beregi JP (2001) Embolization of type II endoleaks after aortic stent-graft implantation: technique and immediate results. J Vasc Surg 34:600–605CrossRefPubMed
56.
go back to reference Bosiers MJ, Schwindt A, Donas KP, Torsello G (2013) Midterm results of the transarterial use of Onyx in the treatment of persisting type II endoleaks after EVAR. J Cardiovasc Surg 54(4):469–475 Bosiers MJ, Schwindt A, Donas KP, Torsello G (2013) Midterm results of the transarterial use of Onyx in the treatment of persisting type II endoleaks after EVAR. J Cardiovasc Surg 54(4):469–475
57.
go back to reference Müller-Wille R, Wohlgemuth WA, Heiss P, Wiggermann P, Güntner O, Schreyer AG, Hoffstetter P, Stroszczynski C, Zorger N (2013) Transarterial embolization of type II endoleaks after EVAR: the role of ethylene vinyl alcohol copolymer (Onyx). Cardiovasc Interv Radiol 36(5):1288–1295CrossRef Müller-Wille R, Wohlgemuth WA, Heiss P, Wiggermann P, Güntner O, Schreyer AG, Hoffstetter P, Stroszczynski C, Zorger N (2013) Transarterial embolization of type II endoleaks after EVAR: the role of ethylene vinyl alcohol copolymer (Onyx). Cardiovasc Interv Radiol 36(5):1288–1295CrossRef
58.
go back to reference Funaki B, Birouti N, Zangan SM, Ha TGV, Lorenz JM, Navuluri R, Skelly CL, Leef JA (2012) Evaluation and treatment of suspected type II endoleaks in patients with enlarging abdominal aortic aneurysms. J Vasc Interv Radiol 23:866–872CrossRefPubMedCentralPubMed Funaki B, Birouti N, Zangan SM, Ha TGV, Lorenz JM, Navuluri R, Skelly CL, Leef JA (2012) Evaluation and treatment of suspected type II endoleaks in patients with enlarging abdominal aortic aneurysms. J Vasc Interv Radiol 23:866–872CrossRefPubMedCentralPubMed
59.
go back to reference Sheehan MK, Barbato J, Compton CN, Zajko A, Rhee R, Makaroun MS (2004) Effectiveness of coiling in the treatment of endoleaks after endovascular repair. J Vasc Surg 40:430–434CrossRefPubMed Sheehan MK, Barbato J, Compton CN, Zajko A, Rhee R, Makaroun MS (2004) Effectiveness of coiling in the treatment of endoleaks after endovascular repair. J Vasc Surg 40:430–434CrossRefPubMed
60.
go back to reference Hongo N, Kiyosue H, Shuto R, Kamei N, Miyamoto S, Tanoue S, Mori H (2014) Double coaxial microcatheter technique for transarterial aneurysm sac embolization of type II endoleaks after endovascular abdominal aortic repair. J Vasc Interv Radiol 25(5):709–716CrossRefPubMed Hongo N, Kiyosue H, Shuto R, Kamei N, Miyamoto S, Tanoue S, Mori H (2014) Double coaxial microcatheter technique for transarterial aneurysm sac embolization of type II endoleaks after endovascular abdominal aortic repair. J Vasc Interv Radiol 25(5):709–716CrossRefPubMed
61.
go back to reference Sarac TP, Gibbons C, Vargas L, Liu J, Srivastava S, Bena J, Mastracci T, Kashyap VS, Clair D (2012) Long-term follow-up of type II endoleak embolization reveals the need for close surveillance. J Vasc Surg 55:33–40CrossRefPubMed Sarac TP, Gibbons C, Vargas L, Liu J, Srivastava S, Bena J, Mastracci T, Kashyap VS, Clair D (2012) Long-term follow-up of type II endoleak embolization reveals the need for close surveillance. J Vasc Surg 55:33–40CrossRefPubMed
62.
go back to reference Gallagher KA, Ravin RA, Meltzer AJ, Khan MA, Coleman DM, Graham AR, Aiello F, Shrikhande G, Connolly PH, Dayal R, Karwowski JK (2012) Midterm outcomes after treatment of type II endoleaks associated with aneurysm sac expansion. J Endovasc Ther 19:182–192CrossRefPubMed Gallagher KA, Ravin RA, Meltzer AJ, Khan MA, Coleman DM, Graham AR, Aiello F, Shrikhande G, Connolly PH, Dayal R, Karwowski JK (2012) Midterm outcomes after treatment of type II endoleaks associated with aneurysm sac expansion. J Endovasc Ther 19:182–192CrossRefPubMed
63.
go back to reference Kasirajan K, Matteson B, Marek JM, Langsfeld M (2003) Technique and results of transfemoral superselective coil embolization of type II lumbar endoleak. J Vasc Surg 38:61–66CrossRefPubMed Kasirajan K, Matteson B, Marek JM, Langsfeld M (2003) Technique and results of transfemoral superselective coil embolization of type II lumbar endoleak. J Vasc Surg 38:61–66CrossRefPubMed
64.
go back to reference Jouhannet C, Alsac J-M, Julia P, Sapoval M, El Batti S, Di Primio M, Fabiani JN (2014) Reinterventions for type 2 endoleaks with enlargement of the aneurismal sac after endovascular treatment of abdominal aortic aneurysms. Ann Vasc Surg 28(1):192–200CrossRefPubMed Jouhannet C, Alsac J-M, Julia P, Sapoval M, El Batti S, Di Primio M, Fabiani JN (2014) Reinterventions for type 2 endoleaks with enlargement of the aneurismal sac after endovascular treatment of abdominal aortic aneurysms. Ann Vasc Surg 28(1):192–200CrossRefPubMed
65.
go back to reference Rial R, Serrano FJ, Vega M, Rodriguez R, Martin A, Mendez J, Mendez R, Santos E, Gallego J (2004) Treatment of type II endoleaks after endovascular repair of abdominal aortic aneurysms: translumbar puncture and injection of thrombin into the aneurysm sac. Eur J Vasc Endovasc Surg 27:333–335CrossRefPubMed Rial R, Serrano FJ, Vega M, Rodriguez R, Martin A, Mendez J, Mendez R, Santos E, Gallego J (2004) Treatment of type II endoleaks after endovascular repair of abdominal aortic aneurysms: translumbar puncture and injection of thrombin into the aneurysm sac. Eur J Vasc Endovasc Surg 27:333–335CrossRefPubMed
66.
go back to reference Uthoff H, Katzen BT, Gandhi R, Peña CS, Benenati JF, Geisbüsch P (2012) Direct percutaneous sac injection for postoperative endoleak treatment after endovascular aortic aneurysm repair. J Vasc Surg 56:965–972CrossRefPubMed Uthoff H, Katzen BT, Gandhi R, Peña CS, Benenati JF, Geisbüsch P (2012) Direct percutaneous sac injection for postoperative endoleak treatment after endovascular aortic aneurysm repair. J Vasc Surg 56:965–972CrossRefPubMed
67.
go back to reference Khaja, Park AW, Swee W, Evans AJ, Fritz Angle J, Turba UC, Sabri SS, Matusomoto AH (2013) Treatment of type II endoleak using Onyx with long-term imaging follow-up. Cardiovasc Interv Radiol 37(3):613–622CrossRef Khaja, Park AW, Swee W, Evans AJ, Fritz Angle J, Turba UC, Sabri SS, Matusomoto AH (2013) Treatment of type II endoleak using Onyx with long-term imaging follow-up. Cardiovasc Interv Radiol 37(3):613–622CrossRef
68.
go back to reference Baum RA, Carpenter JP, Golden MA, Velazquez OC, Clark TW, Stavropoulous SW, Cope C, Fairman RM (2002) Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: comparison of transarterial and translumbar techniques. J Vasc Surg 35:23–29CrossRefPubMed Baum RA, Carpenter JP, Golden MA, Velazquez OC, Clark TW, Stavropoulous SW, Cope C, Fairman RM (2002) Treatment of type 2 endoleaks after endovascular repair of abdominal aortic aneurysms: comparison of transarterial and translumbar techniques. J Vasc Surg 35:23–29CrossRefPubMed
69.
go back to reference Aziz A, Menias CO, Sanchez LA, Picus D, Saad N, Rubin BG, Curci JA, Geraghty PJ (2012) Outcomes of percutaneous endovascular intervention for type II endoleak with aneurysm expansion. J Vasc Surg 55:1263–1267CrossRefPubMed Aziz A, Menias CO, Sanchez LA, Picus D, Saad N, Rubin BG, Curci JA, Geraghty PJ (2012) Outcomes of percutaneous endovascular intervention for type II endoleak with aneurysm expansion. J Vasc Surg 55:1263–1267CrossRefPubMed
70.
go back to reference Stavropoulos SW, Park J, Fairman R, Carpenter J (2009) Type 2 endoleak embolization comparison: translumbar embolization versus modified transarterial embolization. J Vasc Interv Radiology 20(10):1299–1302CrossRef Stavropoulos SW, Park J, Fairman R, Carpenter J (2009) Type 2 endoleak embolization comparison: translumbar embolization versus modified transarterial embolization. J Vasc Interv Radiology 20(10):1299–1302CrossRef
71.
go back to reference Mansueto G, Cenzi D, Scuro A, Gottin L, Griso A, Gumbs AA, Mucelli RP (2007) Treatment of type II endoleak with a transcatheter transcaval approach: results at 1-year follow-up. J Vasc Surg 45:1120–1127CrossRefPubMed Mansueto G, Cenzi D, Scuro A, Gottin L, Griso A, Gumbs AA, Mucelli RP (2007) Treatment of type II endoleak with a transcatheter transcaval approach: results at 1-year follow-up. J Vasc Surg 45:1120–1127CrossRefPubMed
72.
go back to reference Midulla M, Perini P, Sundareyan R, Lazguet Y, Dehaene A, Goyault G, Martinelli T, Haulon S (2012) Transcatheter transcaval embolization of a type II endoleak after EVAR using a transseptal needle-sheath system. Vasc Endovasc. Surg. 46(5):410–413CrossRef Midulla M, Perini P, Sundareyan R, Lazguet Y, Dehaene A, Goyault G, Martinelli T, Haulon S (2012) Transcatheter transcaval embolization of a type II endoleak after EVAR using a transseptal needle-sheath system. Vasc Endovasc. Surg. 46(5):410–413CrossRef
73.
go back to reference Wisselink W, Cuesta MA, Berenda FJ, van den Berg FG, Rauwerda JA (2000) Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm repair. J Vasc Surg 31:1240–1244CrossRefPubMed Wisselink W, Cuesta MA, Berenda FJ, van den Berg FG, Rauwerda JA (2000) Retroperitoneal endoscopic ligation of lumbar and inferior mesenteric arteries as a treatment of persistent endoleak after endoluminal aortic aneurysm repair. J Vasc Surg 31:1240–1244CrossRefPubMed
74.
go back to reference Richardson WS, Sternbergh WC 3rd, Money SR (2003) Laparoscopic inferior mesenteric artery ligation: an alternative for the treatment of type II endoleaks. J Laparoendosc Adv Surg Tech A 13(6):355–358CrossRefPubMed Richardson WS, Sternbergh WC 3rd, Money SR (2003) Laparoscopic inferior mesenteric artery ligation: an alternative for the treatment of type II endoleaks. J Laparoendosc Adv Surg Tech A 13(6):355–358CrossRefPubMed
75.
go back to reference Ho P, Law WL, Tung PH, Poon JT, Ting AC, Cheng SW (2004) Laparoscopic transperitoneal clipping of the inferior mesenteric artery for the management of type II endoleak after endovascular repair of an aneurysm. Surg Endosc 18:870PubMed Ho P, Law WL, Tung PH, Poon JT, Ting AC, Cheng SW (2004) Laparoscopic transperitoneal clipping of the inferior mesenteric artery for the management of type II endoleak after endovascular repair of an aneurysm. Surg Endosc 18:870PubMed
76.
go back to reference Kolvenbach R, Pinter L, Raghunandan M et al (2002) Laparoscopic remodelling of abdominal aortic aneurysms after endovascular exclusion: a technical description. J Vasc Surg 36:1267–1270CrossRefPubMed Kolvenbach R, Pinter L, Raghunandan M et al (2002) Laparoscopic remodelling of abdominal aortic aneurysms after endovascular exclusion: a technical description. J Vasc Surg 36:1267–1270CrossRefPubMed
77.
go back to reference Lin JC, Eun D, Shrivastava A, Shepard AD, Reddy DJ (2009) Total robotic ligation of inferior mesenteric artery for type II endoleak after endovascular aneurysm repair. Ann Vasc Surg 23(2):255.e19–255.e21CrossRef Lin JC, Eun D, Shrivastava A, Shepard AD, Reddy DJ (2009) Total robotic ligation of inferior mesenteric artery for type II endoleak after endovascular aneurysm repair. Ann Vasc Surg 23(2):255.e19–255.e21CrossRef
78.
go back to reference Linsen MA, Daniles L, Cuesta MA, Wisselink W (2011) Endoscopic type 2 endoleak repair following endovascular aortic aneurysm repair: acute results and follow-up experience. Vascular 19(3):121–125CrossRefPubMed Linsen MA, Daniles L, Cuesta MA, Wisselink W (2011) Endoscopic type 2 endoleak repair following endovascular aortic aneurysm repair: acute results and follow-up experience. Vascular 19(3):121–125CrossRefPubMed
79.
go back to reference Halak M, McDonnell CO, Muhlmann MD, Baker SR (2007) Open surgical treatment of aneurysmal sac expansion following endovascular abdominal aneurysm repair: solution for an unresolved clinical dilemma. Vascular 15(4):201–204CrossRefPubMed Halak M, McDonnell CO, Muhlmann MD, Baker SR (2007) Open surgical treatment of aneurysmal sac expansion following endovascular abdominal aneurysm repair: solution for an unresolved clinical dilemma. Vascular 15(4):201–204CrossRefPubMed
Metadata
Title
Type 2 Endoleaks Post-EVAR: Current Evidence for Rupture Risk, Intervention and Outcomes of Treatment
Authors
Raymond Chung
Robert A. Morgan
Publication date
01-06-2015
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 3/2015
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-014-0987-x

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