Importance of Follow-up Imaging in the Detection of Delayed Type 2 Endoleaks Despite Complete Aneurysmal Sac Shrinkage

Type 2 endoleaks usually constitute a benign and self-limited phenomenon, which rarely leads to aneurysmal sac expansion. However, in a small subset of patients, a persistent type 2 endoleak might pressurise the aneurysmal sac causing expansion. The authors present two cases with delayed new-onset t...

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Bibliographic Details
Main Authors: Gergana T Taneva, Omid Shafe, Giovanni B Torsello, Arne Schwindt, Jamal Moosavi, Parham Sadeghipour, Konstantinos P Donas
Format: Article
Language:English
Published: Radcliffe Medical Media 2019-01-01
Series:Vascular and Endovascular Review
Online Access:https://www.verjournal.com/articles/Type2-Endoleaks-Aneurysmal-Sac-Shrinkage
Description
Summary:Type 2 endoleaks usually constitute a benign and self-limited phenomenon, which rarely leads to aneurysmal sac expansion. However, in a small subset of patients, a persistent type 2 endoleak might pressurise the aneurysmal sac causing expansion. The authors present two cases with delayed new-onset type 2 endoleak. One occurred after standard endovascular aortic repair and the other after chimney endovascular aortic repair, causing expansion of the aneurysmal sac after a period of complete aneurysmal sac shrinkage. Accordingly, there is a risk of sac re-expansion due to delayed onset endoleaks, independent of the technique, justifying the need for a continuous follow-up despite long-term aneurysmal sac shrinkage.
ISSN:2516-3299
2516-3302