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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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REVIEWS  TOWARDS AN ENTIRELY ENDOVASCULAR AORTIC WORLD


The Journal of Cardiovascular Surgery 2016 October;57(5):698-711

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Towards an entirely endovascular aortic world: an update of techniques and outcomes for endovascular and open treatment of type I, II, and III endoleaks

Nicola MANGIALARDI 1, Matteo ORRICO 1, 2, Sonia RONCHEY 1, Barbara PRAQUIN 1, Vittorio ALBERTI 1, Carlo SETACCI 1, 2

1 Department of Vascular Surgery, San Filippo Neri Hospital, Rome, Italy; 2 Department of Vascular Surgery, Policlinico Santa Maria alle Scotte, University of Siena, Siena, Italy


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Endovascular aneurysm repair (EVAR) is largely the most adopted strategy for aneurysmal disease of the aorta. Nevertheless, the high incidence of reintervention makes it difficult to identify EVAR as a definitive solution; in particular, the most frequent indication of reintervention is endoleak, which is defined as persistent flow into the aneurysmal sac from different sources. Several treatment strategies are described. A contemporary literature search was performed with the intent of describing techniques and outcomes of endovascular and open strategies to type I, II, and III endoleak. Described techniques and outcomes were organized by indication (type I, II, and III endoleak) and by type of approach (endovascular, open, and laparoscopic) to give an overview of the current status of the treatment for the three most frequent types of endoleak. Several endovascular means are described in the literature for the treatment of endoleak.

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dr.orrico.matteo@gmail.com