Influence of treatment of type II leaks on the aneurysm surface area.
Eur J Vasc Endovasc Surg
; 21(4): 339-43, 2001 Apr.
Article
in En
| MEDLINE
| ID: mdl-11359335
ABSTRACT
OBJECTIVE:
to determine whether interventional treatment of type II endoleaks leads to a decrease in aneurysm surface area. MATERIAL ANDMETHOD:
type II endoleaks were detected in a group of 14 male patients (median age 70.2 years) following endovascular repair of a total number of 160 infrarenal aneurysms of the abdominal aorta. The surface area of the aneurysm was determined by computed tomography (CT) pre- and postoperatively and at subsequent follow-up examinations. If type II endoleaks were documented at CT, patients underwent treatment by means of coil embolisation.RESULTS:
interventional treatment resulted in successful occlusion of type II endoleaks in eight patients. One of the cases exhibited spontaneous occlusion. Occlusion was associated with an average decrease in aneurysm surface area of 3.3 cm(2)( p =0.01). In one of these patients, treatment resulted in a temporary occlusion of the endoleak, also with associated decrease in aneurysm size. After recurrence of the type II endoleak, however, the patient experienced an increase in aneurysm surface area. In the remaining four patients the type II endoleaks persisted, resulting in a non significant increase in aneurysm surface area.CONCLUSION:
only complete occlusion of endoleaks results in decrease in the size of the aneurysm sac. Because of endotension and the risk of rupture we favour an early interventional treatment of type II endoleaks.
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Database:
MEDLINE
Main subject:
Postoperative Complications
/
Blood Vessel Prosthesis
/
Aortic Aneurysm, Abdominal
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
Eur J Vasc Endovasc Surg
Journal subject:
ANGIOLOGIA
Year:
2001
Type:
Article
Affiliation country:
Germany