Българска кардиология (May 2024)

Endovascular interventions for endoleaks

  • S. K. Vasilev,
  • I. S. Petrov,
  • Z. I. Stankov,
  • Zh. D. Stoykova

DOI
https://doi.org/10.3897/bgcardio.30.e119179
Journal volume & issue
Vol. 30, no. 1
pp. 13 – 19

Abstract

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Endoleak represents the most common complication after endovascular aortic aneurysm repair (EVAR) and is defi ned as persistent perfusion of the aneurysmal sac, which subsequently could lead to its expansion and possibly rupture. There are different types of endoleaks, depending on their infl ow source, regardless of the number and type of other vessels involved in the outfl ow (endoleak type I A/B/С, type II, type III, type IV and type V). The current gold standard for the diagnosis of endoleak is the contrast-enhanced helical computed tomography (CT). Since, there is no generally accepted consensus for the best surveillance and treatment methods for this pathology, in this article we will present the most effective endovascular interventions for the successful management of the different types of endoleaks. 

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