Endoscopic type 2 endoleak repair following endovascular aortic aneurysm repair: acute results and follow-up experience

• Published in: Vascular Vol. 19; no. 3; p. 121
• Main Authors: Linsen, Matteus A M, Daniels, Lidewine, Cuesta, Miguel A, Wisselink, Willem
• Format: Journal Article
• Language: English
• Published: England 01-06-2011
• Subjects: Aged; Aged, 80 and over; Aortic Aneurysm, Abdominal - surgery; Blood Vessel Prosthesis Implantation - adverse effects; Endoleak - diagnosis; Endoleak - etiology; Endoleak - surgery; Endovascular Procedures - adverse effects; Female; Follow-Up Studies; Humans; Male; Reoperation; Retrospective Studies; Stents - adverse effects; Time Factors; Treatment Outcome
• ISSN: 1708-5381
• DOI: 10.1258/vasc.2010.oa0274

The purpose of this study was to evaluate immediate and long-term results of endoscopic type 2 endoleak repair (EER) following endovascular abdominal aortic aneurysm repair. The basic methods include a retrospective review of electronic and paper medical records of patients admitted or referred to our institution for EER. Between July 1999 and October 2007, eight consecutive patients underwent EER. Mean operative time was 190 (104-355) min. One patient died preoperatively, due to profuse venous bleeding . One procedure was redone due to a missed pair of lumbar arteries. Mean hospital stay was five days (2-10). During mean follow-up, 50 months (29-91), one patient required additional coil embolization for a persistent type 2 endoleak. Four patients were diagnosed with a type 1 and one with a type 3 endoleak; three of these patients required an additional procedure. In conclusion, in this small series EER proved not to be beneficial.