Cargando…

Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair

PURPOSE: Type II endoleaks (T2ELs) are the most common type of endoleaks observed after endovascular aneurysm repair (EVAR). However, whether T2ELs should be treated remains debatable. In the present study, we aimed to describe the natural course of T2ELs and suggest the direction of their managemen...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Ji-Young, Choi, Eol, Cho, Yong-Pil, Han, Youngjin, Kwon, Tae-Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Vascular Specialist International 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774429/
https://www.ncbi.nlm.nih.gov/pubmed/31620399
http://dx.doi.org/10.5758/vsi.2019.35.3.129
_version_ 1783456078144471040
author Kim, Ji-Young
Choi, Eol
Cho, Yong-Pil
Han, Youngjin
Kwon, Tae-Won
author_facet Kim, Ji-Young
Choi, Eol
Cho, Yong-Pil
Han, Youngjin
Kwon, Tae-Won
author_sort Kim, Ji-Young
collection PubMed
description PURPOSE: Type II endoleaks (T2ELs) are the most common type of endoleaks observed after endovascular aneurysm repair (EVAR). However, whether T2ELs should be treated remains debatable. In the present study, we aimed to describe the natural course of T2ELs and suggest the direction of their management. MATERIALS AND METHODS: We reviewed the data of 383 patients who underwent EVAR between 2007 and 2016. Data, including demographic and anatomical details, were collected, and patients with T2ELs were compared to those without them. Patients with T2ELs were categorized into subgroups according to changes in sac size and treatment requirement. RESULTS: We found patent lumbar artery count and lesser thickness of mural thrombi to be significant risk factors for T2ELs. Among the 383 patients, 85 (22.2%) patients were diagnosed with pure T2ELs. Among these 85 patients, the sac size increased in 29 (34.1%) patients, showed no significant change in 39 (45.9%) patients, and decreased in 17 (20.0%) patients. Fifteen (17.6%) patients, among 85 with initial pure T2ELs, showed spontaneous resolution. Five (5.9%) patients among 29, in whom the sac size increased, developed combined-type endoleaks. No sac ruptures were noted among the patients with T2ELs. CONCLUSION: T2ELs with sac expansion potentially contribute to other types of endoleaks. Therefore, periodic screening is important for these patients, particularly for those showing an increasing sac size. In addition, intervention should be considered when other types of endoleaks occur.
format Online
Article
Text
id pubmed-6774429
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Vascular Specialist International
record_format MEDLINE/PubMed
spelling pubmed-67744292019-10-16 Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair Kim, Ji-Young Choi, Eol Cho, Yong-Pil Han, Youngjin Kwon, Tae-Won Vasc Specialist Int Original Article PURPOSE: Type II endoleaks (T2ELs) are the most common type of endoleaks observed after endovascular aneurysm repair (EVAR). However, whether T2ELs should be treated remains debatable. In the present study, we aimed to describe the natural course of T2ELs and suggest the direction of their management. MATERIALS AND METHODS: We reviewed the data of 383 patients who underwent EVAR between 2007 and 2016. Data, including demographic and anatomical details, were collected, and patients with T2ELs were compared to those without them. Patients with T2ELs were categorized into subgroups according to changes in sac size and treatment requirement. RESULTS: We found patent lumbar artery count and lesser thickness of mural thrombi to be significant risk factors for T2ELs. Among the 383 patients, 85 (22.2%) patients were diagnosed with pure T2ELs. Among these 85 patients, the sac size increased in 29 (34.1%) patients, showed no significant change in 39 (45.9%) patients, and decreased in 17 (20.0%) patients. Fifteen (17.6%) patients, among 85 with initial pure T2ELs, showed spontaneous resolution. Five (5.9%) patients among 29, in whom the sac size increased, developed combined-type endoleaks. No sac ruptures were noted among the patients with T2ELs. CONCLUSION: T2ELs with sac expansion potentially contribute to other types of endoleaks. Therefore, periodic screening is important for these patients, particularly for those showing an increasing sac size. In addition, intervention should be considered when other types of endoleaks occur. Vascular Specialist International 2019-09 2019-09-30 /pmc/articles/PMC6774429/ /pubmed/31620399 http://dx.doi.org/10.5758/vsi.2019.35.3.129 Text en Copyright © 2019, The Korean Society for Vascular Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Ji-Young
Choi, Eol
Cho, Yong-Pil
Han, Youngjin
Kwon, Tae-Won
Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair
title Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair
title_full Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair
title_fullStr Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair
title_full_unstemmed Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair
title_short Fate of Pure Type II Endoleaks Following Endovascular Aneurysm Repair
title_sort fate of pure type ii endoleaks following endovascular aneurysm repair
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774429/
https://www.ncbi.nlm.nih.gov/pubmed/31620399
http://dx.doi.org/10.5758/vsi.2019.35.3.129
work_keys_str_mv AT kimjiyoung fateofpuretypeiiendoleaksfollowingendovascularaneurysmrepair
AT choieol fateofpuretypeiiendoleaksfollowingendovascularaneurysmrepair
AT choyongpil fateofpuretypeiiendoleaksfollowingendovascularaneurysmrepair
AT hanyoungjin fateofpuretypeiiendoleaksfollowingendovascularaneurysmrepair
AT kwontaewon fateofpuretypeiiendoleaksfollowingendovascularaneurysmrepair