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European Surgery
Erschienen in:

01.05.2016 | ICS congress 2015

Surgical treatment of the progressive endoleak type II after EVAR

verfasst von: D. Dobes, M. Hajek, J. Raupach, Z. Belobradek, J. Kuriakose, N. Arestis

Erschienen in: European Surgery | Sonderheft 2/2016

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Abstract

Background

Endoleak type II (EL2) is the most common endoleak after Endo-Vascular Aneurysm Repair (EVAR). If the aneurysm sac is growing, then treatment is indicated.

Methods

This is a retrospective pilot study, which describes 10 patients who underwent unsuccessful endovascular treatment of EL2 and were indicated for open surgical treatment.

Results

10 patients underwent open operation without abdominal aorta clamp. Lethality was 0. Computed Tomography Angiogram (CTA) follow-up 12 months later showed no endoleak with good position of the stent-graft.

Conclusions

Results confirm a good outcome of surgical techniques which are safe, but for the evidence base we need more cases.
Vorheriger Artikel Emergency management of penetrating cardiac injuries without a heart surgeon
Nächster Artikel Packing of the thoracic cavity – Damage control surgery for severe intra thoracic haemorrhage
Literatur
1.
Hajibandeh S, Ahmad N, Antoniou GA, Torella F. Is intervention better than surveillance in patients with type 2 endoleak post-endovascular abdominal aortic aneurysm repair? Interact Cardiovasc Thorac Surg. 2015;20(1):128–34.CrossRefPubMed
2.
Chikazawa G, Hiraoka A, Hirai Y, Tamura K, Totsugawa T, Ishida A, Sakaguchi T, Yoshitaka H. Open reintervention for Aneurysmal sac enlargement after EVAR. Ann Vasc Dis. 2014;7(3):350–53.CrossRefPubMedPubMedCentral
3.
Chikazawa G, Yoshitaka H, Hiraoka A, Tanaka K, Mouri N, Tamura K, Totsugawa T, Ishida A, Sakaguchi T. Preoperative coil embolization to aortic branched vessels for prevention of Aneurysmal sac enlargement following EVAR: early clinical result. Ann Vasc Dis. 2013;6(2):175–79.CrossRefPubMedPubMedCentral
4.
Maitrias P, Belhomme D, Molin V, Reix T. Obliterative Endoaneurysmorrhaphy with stent graft preservation for treatment of type II progressive endoleak. Eur J Vasc Endovasc Surg. 2015;51(1):38–42. doi:10.1016/j.ejvs.2015.07.013.CrossRefPubMed
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Böckler D, Holden A, Thompson M, Hayes P, Krievins D, de Vries JP, Reijnen MM. Multicenter Nellix Endovascular Aneurysm sealing system experience in aneurysm sac sealing. J Vasc Surg. 2015;62(2):290–98.CrossRefPubMed
Metadaten
Titel
Surgical treatment of the progressive endoleak type II after EVAR
verfasst von
D. Dobes
M. Hajek
J. Raupach
Z. Belobradek
J. Kuriakose
N. Arestis
Publikationsdatum
01.05.2016
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe Sonderheft 2/2016
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-016-0409-1

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