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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC ANEURYSMS
The Journal of Cardiovascular Surgery 2003 August;44(4):553-7
Endotension. A review of current views on pathophysiology and treatment
Dubenec S. R., White G. H., Pasenau J., Tzilalis V., Choy E., Erdelez L.
Department of Vascular Surgery Royal Prince Alfred Hospital, Sydney, Australia
Most aneurysms shrink after successful endovascular repair. It has been observed, however, that some aneurysms continue to enlarge despite apparent exclusion of the sac by an endograft device. Unexplained abdominal aortic aneurysm (AAA) enlargement in these circumstances appears to be associated with high pressures inside the sac, and the phenomenon has been termed endotension. This paper reviews current theories and experimental evidence regarding the possible mechanisms of causation of endotension, and early experiences with treatment.