Rupture After Endovascular Abdominal Aortic Aneurysm Repair

Antonopoulos, Constantine N.; Kakisis, John D.; Giannakopoulos, Triantafillos G.; Andrikopoulos, Vasilios; Antoniadis, Pavlos; Bessias, Nikolaos; Dervisis, Konstantinos; Georgopoulos, Sotirios; Giannoukas, Athanasios D.; Kaperonis, Elias; Kiskinis, Dimitrios; Klonaris, Chris; Machairas, Anastasios; Papavassiliou, Vasilios; Saleptsis, Vasilios; Saratzis, Nikolaos; Seretis, Konstantinos; Tampakis, Charalambos; Liapis, Christos D.

doi:10.1177/1538574414561225

Cited by 11 publications

(9 citation statements)

References 16 publications

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“…Eleven articles reporting a total of 190 patients with late AAA rupture after EVAR fulfilled the inclusion criteria (Table 1). 15–25 Fourteen case reports including a total of 20 patients were identified but not included in the analysis. 26–39 The selected studies were published between 2000 and 2014, reflecting study periods extending from 1992 to 2013.…”

Section: Methodsmentioning

confidence: 99%

Late Rupture of Abdominal Aortic Aneurysm After Previous Endovascular Repair

et al. 2015

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Section: Methodsmentioning

confidence: 99%

Late Rupture of Abdominal Aortic Aneurysm After Previous Endovascular Repair

et al. 2015

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“…They concluded that graft-related endoleaks appeared to be the predominant cause of late aneurysm rupture. Antonopoulos and coworkers 25 also reported on 22 patients with ruptured AAAs after previous EVAR, who presented to 7 referral hospitals in Greece; type Ia endoleak and endograft migration were identified in 72.7% and 50%, respectively. They concluded that type I endoleak and endograft migration were most frequently observed, and compliance to follow-up was low.…”

Section: Discussionmentioning

confidence: 96%

Management of Immediate Post-Endovascular Aortic Aneurysm Repair Type Ia Endoleaks and Late Outcomes

AbuRahma

Hass

AbuRahma

et al. 2017

Journal of the American College of Surgeons

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BACKGROUND Post-endovascular aortic aneurysm repair (EVAR) endoleaks and the need for reintervention are challenging. Additional endovascular treatment is advised for type Ia endoleaks detected on post-EVAR completion angiogram. This study analyzed management and late outcomes of these endoleaks. STUDY DESIGN This was a retrospective review of prospectively collected data from EVAR patients during a 10-year period. All post-EVAR type Ia endoleaks on completion angiogram were identified (group A) and their early (30-day) and late outcomes were compared with outcomes of patients without endoleaks (group B). Kaplan-Meier analysis was used for survival analysis, sac expansion, late type Ia endoleak, and reintervention. RESULTS Seventy-one of 565 (12.6%) patients had immediate post-EVAR type Ia endoleak. Early intervention (proximal aortic cuffs and/or stenting) was used in 56 of 71 (79%) in group A vs 31 of 494 (6%) in group B (p < 0.0001). Late type Ia endoleak was noted in 9 patients (13%) in group A at a mean follow-up of 28 months vs 10 patients (2%) in group B at a mean follow-up of 32 months (p < 0.0001). Late sac expansion and reintervention rates were 9% and 10% for group A vs 5% and 3% for group B (p = 0.2698 and p = 0.0198), respectively. Freedom rates from late type Ia endoleaks at 1, 3, and 5 years for group A were 88%, 85%, and 80% vs 98%, 98%, and 96% for group B (p < 0.001); and for late intervention, were 94%, 92%, and 77% for group A, and 99%, 97%, and 95% for group B (p = 0.007), respectively. Survival rates were similar. CONCLUSIONS Immediate post-EVAR type Ia endoleaks are associated with higher rates of early interventions, late endoleaks and reintervention, which will necessitate strict post-EVAR surveillance.

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“…One of the main complications associated with EVAR is the persistence of arterial flow to the aneurysm sac via aortic branches, usually from the lumbar arteries or the inferior mesenteric artery . This is responsible for type II endoleak (EL‐II), which occurs in 10%–30% of patients after EVAR . Owing to its low complication rate, EL‐II is normally monitored by continued surveillance.…”

Section: Introductionmentioning

confidence: 99%

“…1 This is responsible for type II endoleak (EL-II), which occurs in 10%-30% of patients after EVAR. 5 Owing to its low complication rate, EL-II is normally monitored by continued surveillance. Currently, reintervention is indicated if the aneurysm sac enlarges by 5 mm in 6 months.…”

Section: Introduction E Ndovascular Repair Of Aortic Aneurysm (Evar)mentioning

confidence: 99%

Advantages of contrast‐enhanced ultrasonography over computed tomography for the detection of persistent type II endoleak after embolization: A case report

Cury

Godoy

et al. 2016

J of Clinical Ultrasound

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The aim of this case report is to describe the use of contrast-enhanced ultrasonography in the detection of a type II endoleak after prior embolization with Onyx. A 74-year-old male patient with hypertension previously underwent endovascular repair of a 7.1-cm infrarenal aortic aneurysm. CT angiography surveillance revealed a type II endoleak associated with aneurysm sac expansion. Selective transarterial embolization of the endoleak was performed, but it was not possible to detect the persistent endoleak using CT angiography because of image artifacts caused by Onyx. Contrast-enhanced ultrasonography enabled us to detect the persistent endoleak in this patient. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 44:522-526, 2016.

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Rupture After Endovascular Abdominal Aortic Aneurysm Repair

Cited by 11 publications

References 16 publications

Late Rupture of Abdominal Aortic Aneurysm After Previous Endovascular Repair

Late Rupture of Abdominal Aortic Aneurysm After Previous Endovascular Repair

Management of Immediate Post-Endovascular Aortic Aneurysm Repair Type Ia Endoleaks and Late Outcomes

Advantages of contrast‐enhanced ultrasonography over computed tomography for the detection of persistent type II endoleak after embolization: A case report

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