Endoleaks and the unending saga of a clever new terminology that has proved counterproductive

Abstract

et al. A new clinicopathological entity of IgG4-related inflammatory abdominal aortic aneurysm. J Vasc Surg 2009;49:1264-71. 3. Warnatz K, Keskin AG, Uhl M, Scholz C, Katzenwadel A, Vaith P, et al. Immunosuppressive treatment of chronic periaortitis: a retrospective study of 20 patients with chronic periaortitis and a review of the literature. Ann Rheum Dis 2005;64:828-33.

Reply

“…We speculate that the aortic wall infection was secondary to the IgG4-related inflammatory abdominal aortitis. [3][4][5] White et al were first to describe the growing problem with clarity and coined a brand-new term 6 : "We propose a preferable, novel terminologyendoleak -for this new phenomenon, which is associated only with endoluminal grafts." 2 We speculate that bacterial infection extends to the aortic intimal wall and then infiltrates into the media, which results in a degenerative change due to IgG4-related inflammatory aortitis.…”

“…6 Also of concern in this letter is the implication that most US patients are This system seems to work well for the rest of the world!…”