Type II endoleaks: challenges and solutions

Abstract

Andrew Brown,1 Greta K Saggu,1 Matthew J Bown,2 Robert D Sayers,2 David A Sidloff1,2 1Department of Vascular Surgery, Queens Medical Centre, University of Nottingham, Nottingham, 2Department of Cardiovascular Sciences, National Institute for Health Research Leicester Cardiovascular Biomedical Research Unit, University of Leicester, Leicester, UK Abstract: Type II endoleaks are the most common endovascular complications of endovascular abdominal aortic aneurysm repair (EVAR); however, there has been a divided opinion regarding their significance in EVAR. Some advocate a conservative approach unless there is clear evidence of sac expansion, while others maintain early intervention is best to prevent adverse late outcomes such as rupture. There is a lack of level-one evidence in this challenging group of patients, and due to a low event rate of complications, large numbers of patients would be required in well-designed trials to fully understand the natural history of type II endoleak. This review will discuss the imaging, management, and outcome of patients with isolated type II endoleaks following infra-renal EVAR. Keywords: aorta, endovascular, endograft, endoleak, embolization 

Keywords

• Aorta
• Endovascular
• Endograft
• Endoleak
• Embolisation