Article
Surgery
Anna-Leonie Menges, Lorenz Meuli, Philip Dueppers, Kerstin Stoklasa, Reinhard Kopp, Benedikt Reutersberg, Alexander Zimmermann
Summary: This study retrospectively analyzed the significance of type II endoleaks (T2ELs) after endovascular aortic repair (rEVAR). The results showed that T2ELs had a benign course in most cases, but the possibility of persistent bleeding should be considered in the short term. Regular follow-up is necessary to detect late complications after EVAR and prevent secondary rupture and death.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cardiac & Cardiovascular Systems
Yoshimasa Seike, Hitoshi Matsuda, Hideyuki Shimizu, Shin Ishimaru, Katsuyuki Hoshina, Nobuaki Michihata, Hideo Yasunaga, Kimihiro Komori
Summary: This study based on the Japanese Committee for Stentgraft Management registry reveals a correlation between persistent type II endoleak (p-T2EL) and late adverse events, including aneurysm sac enlargement, reintervention, rupture, and abdominal aortic aneurysm-related mortality following endovascular aneurysm repair. Apart from p-T2EL, older age, female sex, chronic kidney disease, and dilated proximal neck were associated with sac enlargement.
Article
Medicine, General & Internal
Young Sun Yoo
Summary: Common iliac artery aneurysm complicated by ilio-iliac arteriovenous fistulas is a rare but fatal condition that requires prompt treatment. Endovascular therapy is appropriate for reducing morbidity and mortality in such cases. Successful repair of the fistula can be achieved by stenting the common iliac vein with an aortic extension cuff.
Article
Surgery
Claire Morton, Kendal M. Endicott, Annalise Penikis, Shahab Toursavadkohi, Michael R. Hall
Summary: Abdominal arteriovenous fistula is a rare condition characterized by a triad of symptoms including pulsatile abdominal mass, bruit, and high-output heart failure. This case report demonstrates successful treatment of a patient presenting with acute right heart failure and renal failure caused by an arteriovenous fistula using endovascular repair.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Hazel L. Marecki, Eric J. Finnesgard, Sri Nuvvula, Tammy T. Nguyen, Laura T. Boitano, Douglas W. Jones, Andres Schanzer, Jessica P. Simons
Summary: This study investigated the incidence and complexity of type II endoleaks after F/B-EVAR. The results showed that nearly half of the patients experienced endoleaks, with the majority being type II and nearly a fifth associated with sac expansion. Treatment of type II endoleaks often led to increased complexity, with the presence of significant type I or III endoleaks. Further research is needed to determine the treatment goal for complex aneurysm repair and the management of type II endoleaks.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Peripheral Vascular Disease
Eric T. A. Lim, Adib Khanafer
Summary: Spontaneous ilio-iliac arteriovenous fistulas are rare occurrences usually associated with trauma, surgery, or aneurysm rupture. Open surgical repair appears to be a safe and feasible approach for this condition.
Article
Surgery
Randall R. Demartino, Matthew D. Breite, Dan Neal, Bernardo C. Mendes, Jill J. Colglazier, David H. Stone, Salvatore T. Scali
Summary: Type II endoleaks are common after EVAR and do not have an impact on long-term mortality. Reinterventions for Type II endoleaks do not improve overall survival for patients with these endoleaks.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Juliet Blakeslee-Carter, Adam W. Beck, Emily L. Spangler
Summary: This study aimed to evaluate the occurrence of Type III endoleaks (T3ELs) in complex endovascular aneurysm repair (c-EVAR) and determine their impact on clinical outcomes. The results showed that T3ELs are relatively rare in c-EVAR and are usually identified during the index hospitalization. The development of T3ELs is associated with higher device modularity and modification.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ramin Hamidizadeh, Emeka Nzekwu, Oliver Halliwell
Summary: The study aimed to compare long-term outcomes of TA and TL embolization of T2E following EVAR and predict factors for clinical success. TL approaches had higher technical success, while clinical success rates were similar for TA and TL procedures. The use of n-butyl cyanoacrylate glue for sac embolization had higher success rates.
CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES
(2021)
Article
Surgery
Sana Mulay, Anna C. M. Geraedts, Mark J. W. Koelemay, Ron Balm
Summary: This study found no significant impact of type 2 endoleaks on overall survival, and patients who underwent secondary intervention did not have better survival compared to those who did not. The importance of conservative treatment for isolated type 2 endoleaks was emphasized, as well as the need for prospective studies to determine potential benefits of intervention.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2021)
Article
Medicine, General & Internal
Roy Zuidema, Anna C. M. Geraedts, Willemina van Veldhuizen, Sana Mulay, Jean-Paul P. M. de Vries, Richte C. L. Schuurmann, Ron Balm
Summary: This study investigated the evolution of the shortest apposition length (SAL) post-EVAR and found that a declining SAL during follow-up may be an indicator for the development of late type 1a endoleaks (T1aELs). It is important to include apposition analysis during follow-up as SAL < 10mm is an indicator for T1aEL.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
E. Hope Weissler, Bradley G. Hammill, Jenna L. Armstrong, Andrew M. Vekstein, Parth Chodavadia, Chandler A. Long, Matthew Roe, G. Chad Hughes
Summary: Through analyzing the reports related to thoracic endovascular aortic repair (TEVAR) in the FDA's Manufacturer and User Facility Device Experience (MAUDE) database, it was found that there is an association between the Medtronic Valiant device and type IIIb endoleaks, and this association can be traced back to 2013. The study also discovered that all type IIIb endoleaks occurred in patients who received TEVAR with devices containing sutured on woven fabric.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Toru Ide, Kazuo Shimamura, Takayuki Shijo, Toru Kuratani, Ryoto Sakaniwa, Shigeru Miyagawa
Summary: This study investigated the impact of the number of patent lumbar arteries (LAs) on sac enlargement after endovascular aneurysm repair (EVAR). The results showed that when the inferior mesenteric artery (IMA) was patent pre-operatively, a high number of patent LAs significantly promoted sac enlargement with type II endoleak (T2EL). However, when the IMA was occluded pre-operatively, a high number of patent LAs had limited influence on sac enlargement.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Matthew Major, Graham W. Long, Christine L. Eden, Diane M. Studzinski, Rose E. Callahan, O. William Brown
Summary: This study evaluated the incidence and long-term outcomes of postoperative Type 1a endoleak (PT1a) following endovascular aortic aneurysm repair (EVAR). The study found that PT1a incidence was 8.2% with an average onset time of 52 months. Patients who developed PT1a were more likely to be female and had higher mortality rates. Patients with successful intervention for PT1a showed no significant difference in median survival.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Shinichi Iwakoshi, Yukihisa Ogawa, Michael D. Dake, Yusuke Ono, Hiroki Higashihara, Akira Ikoma, Motoki Nakai, Takanori Taniguchi, Takahiro Ogi, Hiroshi Kawada, Akio Tamura, Yoshirou Ieko, Ryoichi Tanaka, Etsuji Sohgawa, Satoru Nagatomi, Reiko Woodhams, Osamu Ikeda, Kensaku Mori, Hiroshi Nishimaki, Jun Koizumi, Terutoshi Senokuchi, Makiyo Hagihara, Masashi Shimohira, Shohei Takasugi, Akira Imaizumi, Wataru Higashiura, Shoji Sakaguchi, Shigeo Ichihashi, Takeshi Inoue, Takashi Inoue, Kimihiko Kichikawa
Summary: This study aimed to investigate the mid-term outcomes of embolization procedures for type II endoleak after endovascular abdominal aortic repair and identify the risk factors for aneurysm enlargement. The results showed that embolization procedures were generally ineffective in preventing further expansion of abdominal aortic aneurysms in patients with type II endoleaks, especially in those with a large abdominal aortic aneurysm and/or a presence of a Moyamoya endoleak.
JOURNAL OF VASCULAR SURGERY
(2023)
