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REVIEWS  THE MANAGEMENT OF ENDOLEAKS 

The Journal of Cardiovascular Surgery 2013 August;54(4):477-84

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Intervention for type II endoleaks? “Primum non nocere”: appraisal for the conservative management of low-pressure endoleaks after endovascular aneurysm repair

Mees B. 1, 2, Voute M. 2, Bastos Gonçalves F. 2, 3, Mota Capitão L. 3, Verhagen H. 2

1 Vascular Unit, Royal Melbourne Hospital Victoria, Australia; 2 Department of Vascular Surgery, Erasmus University Medical Center Rotterdam, The Netherlands; 3 Department of Angiology and Vascular Surgery Hospital de Santa Marta, CHLC, Lisbon, Portugal


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Endoleaks are the most common problem following endovascular aneurysm repair. The importance of a type II endoleak has often been subject of discussion in scientific literature. Conflicting data on the natural history of type II endoleak have been published. There is no consensus on the threshold for treatment of type II endoleak and controversy exists about the optimal treatment modality. This paper discusses the evidence behind treating type II endoleak and investigates the need for treatment.

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