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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 12/2020

Open Access 01-12-2020 | Aneurysm | Review

Secondary Endoleak Management Following TEVAR and EVAR

Authors: Seyed Ameli-Renani, Vyzantios Pavlidis, Robert A. Morgan

Published in: CardioVascular and Interventional Radiology | Issue 12/2020

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Abstract

Endovascular abdominal and thoracic aortic aneurysm repair and are widely used to treat increasingly complex aneurysms. Secondary endoleaks, defined as those detected more than 30 days after the procedure and after previous negative imaging, remain a challenge for aortic specialists, conferring a need for long-term surveillance and reintervention. Endoleaks are classified on the basis of their anatomic site and aetiology. Type 1 and type 2 endoleaks (EL1 and EL2) are the most common endoleaks necessitating intervention. The management of these requires an understanding of their mechanics, and the risk of sac enlargement and rupture due to increased sac pressure. Endovascular techniques are the main treatment approach to manage secondary endoleaks. However, surgery should be considered where endovascular treatments fail to arrest aneurysm growth. This chapter reviews the aetiology, significance, management strategy and techniques for different endoleak types.
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Metadata
Title
Secondary Endoleak Management Following TEVAR and EVAR
Authors
Seyed Ameli-Renani
Vyzantios Pavlidis
Robert A. Morgan
Publication date
01-12-2020
Publisher
Springer US
Keywords
Aneurysm
Aneurysm
Published in
CardioVascular and Interventional Radiology / Issue 12/2020
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-020-02572-9

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