Endoleaks: Current concepts and treatments - A Narrative Review

Zia Ur Rehman

Research output: Contribution to journalReview articlepeer-review

4 Citations (Scopus)

Abstract

Endoleaks are the most common complications following endovascular aneurysm repair. Depending upon their origin, there are five types of endoleaks, types I-V, which can also be classified as direct and indirect endoleaks. Direct endoleaks (type I and III) have higher risk of aneurysm rupture due to rapid sac expansion, and require immediate correction. Indirect endoleaks (type II, IV and V) have a relatively benign course compared to direct endoleaks. Most of them resolve with time and very few need interventions upon sac enlargement. Type V endotension is a special situation where there is sac enlargement despite no demonstrable endoleak. Proper planning and appropriate selection of stent-graft can prevent most of these endoleaks. With improvement in stent-graft technology, the incidence of endoleaks has been reduced. The current narrative review was planned to describe the pathophysiology, risk factors and treatment options for each type of endoleak.

Original languageEnglish
Pages (from-to)2224-2229
Number of pages6
JournalJournal of the Pakistan Medical Association
Volume71
Issue number9
DOIs
Publication statusPublished - Sept 2021

Keywords

  • Embolisation
  • Endoleak
  • Endovascular

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