KMID : 0371420140860020095
|
|
Annals of Surgical Treatment and Research 2014 Volume.86 No. 2 p.95 ~ p.99
|
|
Clinical significance of type I endoleak on completion angiography
|
|
Kim Suh-Min
Ra Hwan-Do Min Sang-Il Jae Hwan-Jun Ha Jong-Won Min Seung-Kee
|
|
Abstract
|
|
|
Purpose: Type I endoleak is known to be associated with sac enlargement and occasional rupture, therefore, the treatment of type I endoleak is recommended at the time of diagnosis. The aim of this study was to identify the significance of early type I endoleak found on completion angiography.
Methods: Between January 2000 and December 2012, a total of 86 patients underwent endovascular abdominal aortic aneurysm repair (EVAR) and 10 patients (11.6%) were diagnosed with type Ia endoleak on completion angiography. Clinical and radiologic data were reviewed retrospectively.
Results: Of the 10 patients, two underwent EVAR with custom-made stent-grafts in the initial stage and both of them needed immediate treatment: one case involved open repair while the other involved insertion of an additional stent-graft. In 8 patients, the amount of leakage decreased after repeated balloon molding. They were managed conservatively and followed up with computed tomography angiography within 2 weeks after EVAR. In 7 of the 8 cases, type Ia endoleaks disappeared. In one patient with a persistent endoleak and a folded posterior wall of the stent-graft, coil embolization was performed 1 week after EVAR. With a median follow-up of 12 months (range, 1-61 months), no patients showed recurrence of type I endoleak or sac expansion.
Conclusion: Type I endoleaks diagnosed on completion angiography sealed spontaneously in 7 of 10 patients (70.0%). In cases of decreased amounts of leakage after balloon molding, simple observation may be an alternative to repetitive procedures. The long-term follow-up of patients with self-sealed type I endoleaks is mandatory.
|
|
KEYWORD
|
|
Endovascular aneurysm repair, Abdominal aortic aneurysm, Endoleak
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|