Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective study
Background: Endovascular abdominal aortic aneurysm repair (EVAR) is the most frequently used treatment for aneurysm in abdominal aorta. The endoleak after EVAR causes the aneurysm sac to remain enlarged and risk for rupture. Aims: The purpose of the study was to assess the efficacy of strategies and...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S101595842300088X |
| _version_ | 1827855696192864256 |
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| author | Xin Li Pengcheng Guo Lunchang Wang Quanming Li Lei Zhang Jian Qiu Hao He Jiehua Li Chenzi Yang Chang Shu |
| author_facet | Xin Li Pengcheng Guo Lunchang Wang Quanming Li Lei Zhang Jian Qiu Hao He Jiehua Li Chenzi Yang Chang Shu |
| author_sort | Xin Li |
| collection | DOAJ |
| description | Background: Endovascular abdominal aortic aneurysm repair (EVAR) is the most frequently used treatment for aneurysm in abdominal aorta. The endoleak after EVAR causes the aneurysm sac to remain enlarged and risk for rupture. Aims: The purpose of the study was to assess the efficacy of strategies and techniques for endoleak treatment. Methods: This study was a single center retrospective study of 30 patients who had kinds of endoleak. The 30 patients were from a cohort of 597 patients who received EVAR from the Secondary Xiangya Hospital, Central South University between Jan 2014 to Dec 2021, what is follow-up well and diagnosed as endoleak. Data included basic clinical information, aspects of the endoleak treatment techniques, and follow-up findings. Results: The 30 patients with endoleak were diagnosed by computed tomography angiography or digital subtraction angiography. Age is 69 ± 7.9 yrs. 26 patients are male with only 4 female patients. Immediate endoleak after EVAR is 46.7%and delayed endoleak is 53.3%. The classification of endoleak is type Ⅰ:76.6%; type Ⅱ 26.7%; type Ⅲ:6.7%; type Ⅳ:6.7%; type Ⅴ:13.3%. Different treatment of endoleak includes: screening, endovascular re-intervention and open surgery. There are 3 patients (10.0%) underwent emergency EVAR due to their rupture condition of aneurysm. All the endoleak patients’ CTA image characteristics has been reviewed. The follow-up rate is 93.3%. There are 6 patients (21.4%) died during follow-up. No aneurysm sac rupture death has been recorded. Conclusions: Endoleak after EVAR is the most frequent complication that directly affects survival and re-intervention rates. Our findings suggested that different treatment strategies based on the individual patient's situation is important for their endoleak treating result. |
| first_indexed | 2024-03-12T11:54:59Z |
| format | Article |
| id | doaj.art-307b7efe194349be9ae465378ad398d9 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-03-12T11:54:59Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-307b7efe194349be9ae465378ad398d92023-08-31T05:00:37ZengElsevierAsian Journal of Surgery1015-95842023-09-0146937483754Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective studyXin Li0Pengcheng Guo1Lunchang Wang2Quanming Li3Lei Zhang4Jian Qiu5Hao He6Jiehua Li7Chenzi Yang8Chang Shu9Department of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, ChinaDepartment of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Institute of Vascular Diseases, Central South University, Changsha, Hunan, China; National Center for Cardiovascular Disease, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; Corresponding author. Department of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.Background: Endovascular abdominal aortic aneurysm repair (EVAR) is the most frequently used treatment for aneurysm in abdominal aorta. The endoleak after EVAR causes the aneurysm sac to remain enlarged and risk for rupture. Aims: The purpose of the study was to assess the efficacy of strategies and techniques for endoleak treatment. Methods: This study was a single center retrospective study of 30 patients who had kinds of endoleak. The 30 patients were from a cohort of 597 patients who received EVAR from the Secondary Xiangya Hospital, Central South University between Jan 2014 to Dec 2021, what is follow-up well and diagnosed as endoleak. Data included basic clinical information, aspects of the endoleak treatment techniques, and follow-up findings. Results: The 30 patients with endoleak were diagnosed by computed tomography angiography or digital subtraction angiography. Age is 69 ± 7.9 yrs. 26 patients are male with only 4 female patients. Immediate endoleak after EVAR is 46.7%and delayed endoleak is 53.3%. The classification of endoleak is type Ⅰ:76.6%; type Ⅱ 26.7%; type Ⅲ:6.7%; type Ⅳ:6.7%; type Ⅴ:13.3%. Different treatment of endoleak includes: screening, endovascular re-intervention and open surgery. There are 3 patients (10.0%) underwent emergency EVAR due to their rupture condition of aneurysm. All the endoleak patients’ CTA image characteristics has been reviewed. The follow-up rate is 93.3%. There are 6 patients (21.4%) died during follow-up. No aneurysm sac rupture death has been recorded. Conclusions: Endoleak after EVAR is the most frequent complication that directly affects survival and re-intervention rates. Our findings suggested that different treatment strategies based on the individual patient's situation is important for their endoleak treating result.http://www.sciencedirect.com/science/article/pii/S101595842300088XEndovascular abdominal aortic aneurysm repairEndoleakEndovascular treatmentSurgical repair |
| spellingShingle | Xin Li Pengcheng Guo Lunchang Wang Quanming Li Lei Zhang Jian Qiu Hao He Jiehua Li Chenzi Yang Chang Shu Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective study Asian Journal of Surgery Endovascular abdominal aortic aneurysm repair Endoleak Endovascular treatment Surgical repair |
| title | Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective study |
| title_full | Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective study |
| title_fullStr | Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective study |
| title_full_unstemmed | Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective study |
| title_short | Treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm: A single center retrospective study |
| title_sort | treatment strategies for endoleak after endovascular repair of the abdominal aortic aneurysm a single center retrospective study |
| topic | Endovascular abdominal aortic aneurysm repair Endoleak Endovascular treatment Surgical repair |
| url | http://www.sciencedirect.com/science/article/pii/S101595842300088X |
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