Clinical significance of endoleaks characterized by computed tomography during aortography performed immediately after endovascular abdominal aortic aneurysm repair: prediction of persistent endoleak
Tóm tắt
This study aimed to predict the persistence of endoleaks (ELs) using patterns and volumes evaluated by computed tomography during aortography (CTDA) performed immediately after endovascular abdominal aortic aneurysm repair (EVAR). CTDA immediately after EVAR and at the 6-month follow-up CT were performed in 52 patients. ELs were classified as localized-type pattern (LTP; <180° around the center of the aneurysmal lumen) or circumferential-type pattern (CTP; >180°). The proportion of EL volume in the aneurysmal sac, excluding mural thrombus, was classified as grade A (≤5 %), B (5–10 %), or C (≥10 %). The 6-month follow-up residual rates were evaluated, and volume ratios (follow-up CT aneurysmal volume including mural thrombus/CTDA aneurysmal volume) were calculated. The residual rate (5.3 %) and mean volume ratio (83.9 %) of ELs with LTP were significantly lower than those of ELs with CTP (72.2 and 99.3 %, respectively); there was no significant difference in residual rate or mean volume ratio among EL grades (A: 17.6, 88.1 %; B: 55.6, 89.7 %; C: 54.5, 97.8 %). ELs with LTP generally disappear over time after EVAR, with a concomitant reduction in aneurysm volume, whereas those with CTP persist, indicating that patients with EL with a CTP should be followed up carefully.
Tài liệu tham khảo
citation_journal_title=J Vasc Surg; citation_title=A multicenter controlled clinical trial of open versus endovascular treatment of abdominal aortic aneurysm; citation_author=JS Matsumura, DC Brewster, MS Makaroun, DC Naftel; citation_volume=37; citation_publication_date=2003; citation_pages=262-271; citation_doi=10.1067/mva.2003.120; citation_id=CR1
citation_journal_title=Lancet; citation_title=Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial; citation_author=RM Greenhalgh, LC Brown, GP Kwong, JT Powell, SG Thompson; citation_volume=364; citation_publication_date=2004; citation_pages=843-848; citation_doi=10.1016/S0140-6736(04)16979-1; citation_id=CR2
citation_journal_title=Ann Surg; citation_title=Long-term outcomes after endovascular abdominal aortic aneurysm repair: the first decade; citation_author=DC Brewster, JE Jones, TK Chung, GM Lamuraglia, CJ Kwolek, MT Watkins; citation_volume=244; citation_publication_date=2006; citation_pages=426-438; citation_id=CR3
citation_journal_title=J Vasc Surg; citation_title=Zenith AAA endovascular graft: intermediate-term results of the US multicenter trial; citation_author=RK Greenberg, TA Chuter, WC Sternbergh, NE Fearnot; citation_volume=39; citation_publication_date=2004; citation_pages=1209-1218; citation_doi=10.1016/j.jvs.2004.02.032; citation_id=CR4
citation_journal_title=AJR Am J Roentgenol; citation_title=Helical CT of aorta after endoluminal stent-graft therapy: value of biphasic acquisition; citation_author=J Golzarian, L Dussaussois, HT Abada, PA Gevenois, D Gansbeke, J Ferreira; citation_volume=171; citation_publication_date=1998; citation_pages=329-331; citation_id=CR5
citation_journal_title=Cardiovasc Intervent Radiol; citation_title=Complications of endovascular repair of abdominal aortic aneurysms: a review; citation_author=BT Katzen, AA MacLean; citation_volume=29; citation_publication_date=2006; citation_pages=935-946; citation_doi=10.1007/s00270-005-0191-0; citation_id=CR6
citation_journal_title=Eur J Radiol; citation_title=Update: complications and management of infrarenal EVAR; citation_author=JV Liaw, M Clark, R Gibbs, M Jenkins, N Cheshire, M Hamady; citation_volume=71; citation_publication_date=2008; citation_pages=541-551; citation_doi=10.1016/j.ejrad.2008.05.015; citation_id=CR7
citation_journal_title=AJR Am J Roentgenol; citation_title=Endoleaks after endovascular abdominal aortic aneurysm repair: management strategies according to CT findings; citation_author=MR Bashir, H Ferral, C Jacobs, W McCarthy, M Goldin; citation_volume=192; citation_publication_date=2009; citation_pages=178-186; citation_doi=10.2214/AJR.08.1593; citation_id=CR8
citation_journal_title=J Endovasc Surg; citation_title=Endovascular repair of aortic aneurysms: treatment of complications; citation_author=J Görich, N Rilinger, J Söldner, S Krämer, KH Orend, A Schütz; citation_volume=6; citation_publication_date=1999; citation_pages=136-146; citation_doi=10.1583/1074-6218(1999)006<0136:EROAAT>2.0.CO;2; citation_id=CR9
citation_journal_title=J Endovasc Surg; citation_title=Changing aneurysmal morphology after endovascular grafting: relation to leakage or persistent perfusion; citation_author=M Malina, K Ivancev, TA Chuter, M Lindh, T Länne, B Lindblad; citation_volume=4; citation_publication_date=1997; citation_pages=23-30; citation_doi=10.1583/1074-6218(1997)004<0023:CAMAEG>2.0.CO;2; citation_id=CR10
citation_journal_title=J Endovasc Surg; citation_title=Three-year experience with the White-Yu Endovascular GAD Graft for transluminal repair of aortic and iliac aneurysms; citation_author=GH White, W Yu, J May, R Waugh, X Chaufour, JP Harris; citation_volume=4; citation_publication_date=1997; citation_pages=124-136; citation_doi=10.1583/1074-6218(1997)004<0124:TYEWTW>2.0.CO;2; citation_id=CR11
citation_journal_title=J Vasc Surg; citation_title=Persistent collateral perfusion of abdominal aortic aneurysm after endovascular repair does not lead to progressive change in aneurysm diameter; citation_author=T Resch, K Ivancev, M Lindh, U Nyman, J Brunkwall, M Malina; citation_volume=28; citation_publication_date=1998; citation_pages=242-249; citation_doi=10.1016/S0741-5214(98)70160-0; citation_id=CR12
citation_journal_title=Eur J Vasc Endovasc Surg; citation_title=Fate of endoleaks after endoluminal repair of abdominal aortic aneurysms with the EVT device; citation_author=M Makaroun, A Zajko, H Sugimoto, M Eskandari, M Webster; citation_volume=18; citation_publication_date=1999; citation_pages=185-190; citation_doi=10.1053/ejvs.1998.0807; citation_id=CR13
citation_journal_title=J Vasc Surg; citation_title=Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference; citation_author=FJ Veith, RA Baum, T Ohki, M Amor, M Adiseshiah, JD Blankensteijn; citation_volume=35; citation_publication_date=2002; citation_pages=1029-1035; citation_doi=10.1067/mva.2002.123095; citation_id=CR14
citation_journal_title=Ann Vasc Surg; citation_title=Clinical significance of type II endoleak after endovascular repair of abdominal aortic aneurysm; citation_author=DV Gelfand, GH White, SE Wilson; citation_volume=20; citation_publication_date=2006; citation_pages=69-74; citation_doi=10.1007/s10016-005-9382-z; citation_id=CR15
citation_journal_title=Radiology; citation_title=Endovascular aortic stent-grafts: transcatheter embolization of persistent perigraft leaks; citation_author=J Golzarian, J Struyven, HT Abada, D Wery, L Dussaussois, A Madani; citation_volume=202; citation_publication_date=1997; citation_pages=731-734; citation_id=CR16
citation_journal_title=Radiol Med; citation_title=Strategies of endoleak management following endoluminal treatment of abdominal aortic aneurysms in 95 patients: how, when and why; citation_author=G Barbiero, A Baratto, F Ferro, J Dall’Acqua, C Fittà, D Miotto; citation_volume=113; citation_publication_date=2008; citation_pages=1029-1042; citation_doi=10.1007/s11547-008-0317-y; citation_id=CR17
citation_journal_title=Interact Cardiovasc Thorac Surg; citation_title=Translumbar treatment of type II endoleaks after endovascular repair of abdominal aortic aneurysm; citation_author=M Gorlitzer, G Mertikian, H Trnka, A Froeschl, J Meinhart, G Weiss; citation_volume=7; citation_publication_date=2008; citation_pages=781-784; citation_doi=10.1510/icvts.2008.178624; citation_id=CR18
citation_journal_title=J Vasc Surg; citation_title=Sac behavior after aneurysm treatment with the Gore Excluder low-permeability aortic endoprosthesis: 12-month comparison to the original Excluder device; citation_author=SE Haider, SF Najjar, JS Cho, RY Rhee, MK Eskandari, JS Matsumura; citation_volume=44; citation_publication_date=2006; citation_pages=694-700; citation_doi=10.1016/j.jvs.2006.06.018; citation_id=CR19
citation_journal_title=Vasc Med; citation_title=Endotension following endovascular aneurysm repair; citation_author=N Toya, T Fujita, Y Kanaoka, T Ohki; citation_volume=13; citation_publication_date=2008; citation_pages=305-311; citation_doi=10.1177/1358863X08094850; citation_id=CR20
citation_journal_title=J Vasc Surg; citation_title=Abdominal aortic aneurysm repair with the Zenith stent graft: short to midterm results; citation_author=CZ Abraham, TA Chuter, LM Reilly, SP Okuhn, LK Pethan, RB Kerlan; citation_volume=36; citation_publication_date=2002; citation_pages=217-224; citation_doi=10.1067/mva.2002.125032; citation_id=CR21
citation_journal_title=J Endovasc Ther; citation_title=The Zenith aortic stent-graft: a 5-year single-center experience; citation_author=P Alric, RJ Hinchliffe, ST MacSweeney, PW Wenham, SC Whitaker, BR Hopkinson; citation_volume=9; citation_issue=6; citation_publication_date=2002; citation_pages=719-728; citation_doi=10.1583/1545-1550(2002)009<0719:TZASGA>2.0.CO;2; citation_id=CR22
Stokmans RA, Teijink JA, Forbes TL, Böckler D, Peeters PJ, Riambau V, et al. Early results from the ENGAGE Registry: real-world performance of the endurant stent graft for endovascular AAA repair in 1262 patients. Eur J Vasc Endovasc Surg. 2012.