Abdominal Aortic Aneurysm Type II EndoleaksMohamed S Kuziez1, Luis A Sanchez1 and Mohamed A Zayed1,2*
- *Corresponding Author:
- Mohamed A Zayed
Vascular and Endovascular Surgery, Washington
University School of Medicine, St. Louis, Missouri, USA
Tel: 314-362- 5648
E-mail: [email protected]
Received date: June 24, 2016; Accepted date: August 17, 2016; Published date: August 20, 2016
Citation: Kuziez MS, Sanchez LA, Zayed MA (2016) Abdominal Aortic Aneurysm Type II Endoleaks. J Cardiovasc Dis Diagn 4:255. doi: 10.4172/2329-9517.1000255
Copyright: © 2016 Kuziez MS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Type II endoleaks occur commonly following endovascular aneurysm repair (EVAR). Although they remain enigmatic, multiples studies have evaluated preoperative risk factors and strategies for prevention of type II endoleaks. Prophylactic treatment of type II endoleaks can include embolization of accessory arteries, as well as complete aneurysmal sac occlusion. Regular post-operative surveillance and screening for type II endoleaks with triple-phase CTA is the standard of care. Aneurysm size and growth rate are factors that predict whether a persistence type II endoleak is hemodynamically significant, and whether it requires treatment with percutaneous trans-lumbar or trans-arterial embolization techniques. Less commonly, type II endoleaks can be repaired using laparoscopic or open surgical ligation of feeder arterial branches. Emerging methods using endovascular aneurysm sac sealing technology may continue to alter the incidence and long-term management strategies of type II endoleaks. Here we review the latest strategies in the treatment of Type II endoleaks following EVAR.