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Persistent flow of blood into aneurysm sac following endovascular insertion of stent graft

MedGen UID:
264185
•Concept ID:
C1504464
•
Pathologic Function
Synonyms: Endoleak; Endoleaks; Leak, Perigraft; Perigraft Leak; Perigraft Leaks
SNOMED CT: Endoleak (1208762007); Persistent flow of blood into aneurysm sac following endovascular insertion of stent graft (1208762007)

Definition

Persistent blood flow/pressure in the aneurysm sac following an endovascular aneurysm repair (EVAR) procedure. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPersistent flow of blood into aneurysm sac following endovascular insertion of stent graft

Professional guidelines

PubMed

Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms.
Upchurch GR Jr, Escobar GA, Azizzadeh A, Beck AW, Conrad MF, Matsumura JS, Murad MH, Perry RJ, Singh MJ, Veeraswamy RK, Wang GJ
J Vasc Surg 2021 Jan;73(1S):55S-83S. Epub 2020 Jul 3 doi: 10.1016/j.jvs.2020.05.076. PMID: 32628988
Secondary Endoleak Management Following TEVAR and EVAR.
Ameli-Renani S, Pavlidis V, Morgan RA
Cardiovasc Intervent Radiol 2020 Dec;43(12):1839-1854. Epub 2020 Aug 10 doi: 10.1007/s00270-020-02572-9. PMID: 32778905Free PMC Article
The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm.
Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, Mastracci TM, Mell M, Murad MH, Nguyen LL, Oderich GS, Patel MS, Schermerhorn ML, Starnes BW
J Vasc Surg 2018 Jan;67(1):2-77.e2. doi: 10.1016/j.jvs.2017.10.044. PMID: 29268916

Recent clinical studies

Etiology

Imaging modalities for endoleak surveillance.
Williams AB, Williams ZB
J Med Radiat Sci 2021 Dec;68(4):446-452. Epub 2021 Jun 18 doi: 10.1002/jmrs.522. PMID: 34145780Free PMC Article
Late Open Conversion Following Failure of EVAR and TEVAR: "State of the Art".
Rinaldi E, Kahlberg A, Carta N, Mascia D, Bertoglio L, Chiesa R
Cardiovasc Intervent Radiol 2020 Dec;43(12):1855-1864. Epub 2020 Aug 31 doi: 10.1007/s00270-020-02636-w. PMID: 32869159
Open and Endovascular Management of Aortic Aneurysms.
Swerdlow NJ, Wu WW, Schermerhorn ML
Circ Res 2019 Feb 15;124(4):647-661. doi: 10.1161/CIRCRESAHA.118.313186. PMID: 30763206
Laparoscopic ligation of Type II endoleaks following endovascular aneurysm repair: A systematic review.
Wee I, Marjot T, Patel K, Bhrugubanda V, Choong AMTL
Vascular 2018 Dec;26(6):657-669. Epub 2018 Jul 3 doi: 10.1177/1708538118773611. PMID: 29966486
Type II endoleaks.
Avgerinos ED, Chaer RA, Makaroun MS
J Vasc Surg 2014 Nov;60(5):1386-1391. Epub 2014 Aug 28 doi: 10.1016/j.jvs.2014.07.100. PMID: 25175637

Diagnosis

Imaging modalities for endoleak surveillance.
Williams AB, Williams ZB
J Med Radiat Sci 2021 Dec;68(4):446-452. Epub 2021 Jun 18 doi: 10.1002/jmrs.522. PMID: 34145780Free PMC Article
Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms.
Upchurch GR Jr, Escobar GA, Azizzadeh A, Beck AW, Conrad MF, Matsumura JS, Murad MH, Perry RJ, Singh MJ, Veeraswamy RK, Wang GJ
J Vasc Surg 2021 Jan;73(1S):55S-83S. Epub 2020 Jul 3 doi: 10.1016/j.jvs.2020.05.076. PMID: 32628988
Secondary Endoleak Management Following TEVAR and EVAR.
Ameli-Renani S, Pavlidis V, Morgan RA
Cardiovasc Intervent Radiol 2020 Dec;43(12):1839-1854. Epub 2020 Aug 10 doi: 10.1007/s00270-020-02572-9. PMID: 32778905Free PMC Article
Type II endoleaks: when and how.
Grima MJ, Karthikesalingam A
J Cardiovasc Surg (Torino) 2017 Dec;58(6):889-894. Epub 2017 Jun 19 doi: 10.23736/S0021-9509.17.10072-8. PMID: 28627864
Type II endoleaks.
Avgerinos ED, Chaer RA, Makaroun MS
J Vasc Surg 2014 Nov;60(5):1386-1391. Epub 2014 Aug 28 doi: 10.1016/j.jvs.2014.07.100. PMID: 25175637

Therapy

Imaging modalities for endoleak surveillance.
Williams AB, Williams ZB
J Med Radiat Sci 2021 Dec;68(4):446-452. Epub 2021 Jun 18 doi: 10.1002/jmrs.522. PMID: 34145780Free PMC Article
Late Open Conversion Following Failure of EVAR and TEVAR: "State of the Art".
Rinaldi E, Kahlberg A, Carta N, Mascia D, Bertoglio L, Chiesa R
Cardiovasc Intervent Radiol 2020 Dec;43(12):1855-1864. Epub 2020 Aug 31 doi: 10.1007/s00270-020-02636-w. PMID: 32869159
Secondary Endoleak Management Following TEVAR and EVAR.
Ameli-Renani S, Pavlidis V, Morgan RA
Cardiovasc Intervent Radiol 2020 Dec;43(12):1839-1854. Epub 2020 Aug 10 doi: 10.1007/s00270-020-02572-9. PMID: 32778905Free PMC Article
Type II endoleaks: when and how.
Grima MJ, Karthikesalingam A
J Cardiovasc Surg (Torino) 2017 Dec;58(6):889-894. Epub 2017 Jun 19 doi: 10.23736/S0021-9509.17.10072-8. PMID: 28627864
Type II endoleaks.
Avgerinos ED, Chaer RA, Makaroun MS
J Vasc Surg 2014 Nov;60(5):1386-1391. Epub 2014 Aug 28 doi: 10.1016/j.jvs.2014.07.100. PMID: 25175637

Prognosis

A systematic review of anatomic predictors of abdominal aortic aneurysm remodeling after endovascular repair.
van Rijswijk RE, Jebbink EG, Zeebregts CJ, Reijnen MMPJ
J Vasc Surg 2022 May;75(5):1777-1785. Epub 2021 Dec 21 doi: 10.1016/j.jvs.2021.11.071. PMID: 34952192
Duplex ultrasound follow-up after fenestrated and branched endovascular aneurysm repair (FEVAR and BEVAR).
Zierler RE
Semin Vasc Surg 2020 Dec;33(3-4):60-64. Epub 2020 May 23 doi: 10.1053/j.semvascsurg.2020.05.006. PMID: 33308597
Type II endoleaks: when and how.
Grima MJ, Karthikesalingam A
J Cardiovasc Surg (Torino) 2017 Dec;58(6):889-894. Epub 2017 Jun 19 doi: 10.23736/S0021-9509.17.10072-8. PMID: 28627864
Endovascular aneurysm sealing addresses several limitations of conventional endovascular aneurysm repair.
Kostun ZW, Woo EY
Semin Vasc Surg 2016 Mar;29(1-2):50-54. Epub 2016 Jun 18 doi: 10.1053/j.semvascsurg.2016.06.004. PMID: 27823590
Type II endoleaks.
Avgerinos ED, Chaer RA, Makaroun MS
J Vasc Surg 2014 Nov;60(5):1386-1391. Epub 2014 Aug 28 doi: 10.1016/j.jvs.2014.07.100. PMID: 25175637

Clinical prediction guides

A systematic review of anatomic predictors of abdominal aortic aneurysm remodeling after endovascular repair.
van Rijswijk RE, Jebbink EG, Zeebregts CJ, Reijnen MMPJ
J Vasc Surg 2022 May;75(5):1777-1785. Epub 2021 Dec 21 doi: 10.1016/j.jvs.2021.11.071. PMID: 34952192
Imaging modalities for endoleak surveillance.
Williams AB, Williams ZB
J Med Radiat Sci 2021 Dec;68(4):446-452. Epub 2021 Jun 18 doi: 10.1002/jmrs.522. PMID: 34145780Free PMC Article
Late Open Conversion Following Failure of EVAR and TEVAR: "State of the Art".
Rinaldi E, Kahlberg A, Carta N, Mascia D, Bertoglio L, Chiesa R
Cardiovasc Intervent Radiol 2020 Dec;43(12):1855-1864. Epub 2020 Aug 31 doi: 10.1007/s00270-020-02636-w. PMID: 32869159
Type II endoleaks: when and how.
Grima MJ, Karthikesalingam A
J Cardiovasc Surg (Torino) 2017 Dec;58(6):889-894. Epub 2017 Jun 19 doi: 10.23736/S0021-9509.17.10072-8. PMID: 28627864
Type II endoleaks.
Avgerinos ED, Chaer RA, Makaroun MS
J Vasc Surg 2014 Nov;60(5):1386-1391. Epub 2014 Aug 28 doi: 10.1016/j.jvs.2014.07.100. PMID: 25175637

Recent systematic reviews

A systematic review of anatomic predictors of abdominal aortic aneurysm remodeling after endovascular repair.
van Rijswijk RE, Jebbink EG, Zeebregts CJ, Reijnen MMPJ
J Vasc Surg 2022 May;75(5):1777-1785. Epub 2021 Dec 21 doi: 10.1016/j.jvs.2021.11.071. PMID: 34952192
Utility of 3D printed abdominal aortic aneurysm phantoms: a systematic review.
Coles-Black J, Bolton D, Robinson D, Chuen J
ANZ J Surg 2021 Sep;91(9):1673-1681. Epub 2021 Apr 6 doi: 10.1111/ans.16763. PMID: 33825293
A systematic review of primary endovascular repair of the ascending aorta.
Muetterties CE, Menon R, Wheatley GH 3rd
J Vasc Surg 2018 Jan;67(1):332-342. Epub 2017 Aug 23 doi: 10.1016/j.jvs.2017.06.099. PMID: 28844469
A systematic review of surveillance after endovascular aortic repair.
Zaiem F, Almasri J, Tello M, Prokop LJ, Chaikof EL, Murad MH
J Vasc Surg 2018 Jan;67(1):320-331.e37. Epub 2017 Jun 26 doi: 10.1016/j.jvs.2017.04.058. PMID: 28662928
Endovascular abdominal aortic aneurysm sealing: A systematic review of early outcomes.
Brown SL, Awopetu A, Delbridge MS, Stather PW
Vascular 2017 Aug;25(4):423-429. Epub 2016 Dec 14 doi: 10.1177/1708538116684941. PMID: 28264179

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