Evolving concepts and management of endoleaks after endovascular aneurysm repair: where do we stand in 2019?

A Cannavale; P Lucatelli; M Corona; P Nardis; F Basilico; G De Rubeis; M Santoni; C Catalano; M Bezzi

doi:10.1016/j.crad.2019.10.023

Evolving concepts and management of endoleaks after endovascular aneurysm repair: where do we stand in 2019?

Clin Radiol. 2020 Mar;75(3):169-178. doi: 10.1016/j.crad.2019.10.023. Epub 2019 Dec 3.

Authors

A Cannavale¹, P Lucatelli², M Corona², P Nardis², F Basilico², G De Rubeis², M Santoni³, C Catalano³, M Bezzi²

Affiliations

¹ Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy. Electronic address: alessandro.cannavale@hotmail.com.
² Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
³ Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy.

PMID: 31810539
DOI: 10.1016/j.crad.2019.10.023

Abstract

In recent years, there has been tremendous progress in endovascular aneurysm repair (EVAR) techniques and devices. This process has seen a change in incidence, risk factors, and treatment of endoleaks as well as in follow-up protocols after EVAR. In particular, recent literature has highlighted new concepts in the evaluation and prevention/treatment of type I and II endoleak after standard EVAR. There is also recent evidence regarding new imaging protocols for follow-up after EVAR, which include magnetic resonance imaging and contrast-enhanced ultrasound. This comprehensive review aims to outline the most recent concepts on imaging follow-up, pathophysiology/risk factors, and management of endoleaks.

Publication types

Review

MeSH terms

Aortic Aneurysm / diagnostic imaging*
Aortic Aneurysm / physiopathology
Aortic Aneurysm / surgery*
Endoleak / diagnostic imaging*
Endoleak / physiopathology
Endoleak / surgery*
Endovascular Procedures*
Humans
Postoperative Complications / therapy*
Risk Factors