Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00024754.xml
Interventionelle Radiologie Scan 2015; 03(03): 247-264
DOI: 10.1055/s-0034-1392582
DOI: 10.1055/s-0034-1392582
Fortbildung
Endoleaks nach endovaskulärer Aneurysmareparatur der abdominalen Aorta – ein Update
Further Information
Publication History
Publication Date:
11 August 2015 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00024754/201503/lookinside/thumbnails/020_10-1055-s-0034-1392582-1.jpg)
Zusammenfassung
Endoleaks sind eine häufige Komplikation nach endovaskulärer Aneurysmareparatur (EVAR) der infrarenalen Bauchaorta und die Hauptursache für sekundäre Interventionen. Die klinische Bedeutung, Diagnostik, und interventionelle Therapie der verschiedenen Endoleak-Typen werden in dem vorliegenden Artikel unter Berücksichtigung aktueller Entwicklungen vertiefend dargestellt. Zudem werden praktische interventionelle Tipps und Tricks vermittelt.
-
Literatur
- 1 White GH, Yu W, May J. Endoleak – proposed new terminology to describe incomplete aneurysm exclusion by an endoluminal graft. J Endovasc Surg 1996; 3: 124-125
- 2 Veith FJ, Baum RA, Ohki T et al. Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference. J Vasc Surg 2002; 35: 1029-1035
- 3 Meier GH, Parker FM, Godziachvili V et al. Endotension after endovascular aneurysm repair: the Ancure experience. J Vasc Surg 2001; 34: 421-426
- 4 Mehta M, Sternbach Y, Taggert JB et al. Long-term outcomes of secondary procedures after endovascular aneurysm repair. J Vasc Surg 2010; 52: 1442-1449
- 5 AbuRahma AF, Campbell J, Stone PA et al. Early and late clinical outcomes of endovascular aneurysm repair in patients with an angulated neck. Vascular 2010; 18: 93-101
- 6 Sampaio SM, Panneton JM, Mozes GI et al. Aneurysm sac thrombus load predicts type II endoleaks after endovascular aneurysm repair. Ann Vasc Surg 2005; 19: 302-309
- 7 Brountzos E, Karagiannis G, Panagiotou I et al. Risk factors for the development of persistent type II endoleaks after endovascular repair of infrarenal abdominal aortic aneurysms. Diagn Interv Radiol 2012; 18: 307-313
- 8 Löwenthal D, Herzog L, Rogits B et al. Identification of predictive CT angiographic factors in the development of high-risk type 2 endoleaks after endovascular aneurysm repair in patients with infrarenal aortic aneurysms. Rofo 2015; 187: 49-55
- 9 Güntner O, Zeman F, Wohlgemuth WA et al. Inferior mesenteric arterial type II endoleaks after endovascular repair of abdominal aortic aneurysm: Are they predictable?. Radiology 2014; 270: 910-919
- 10 Hinnen JW, Koning OH, van Bockel JH et al. Aneurysm sac pressure after EVAR: the role of endoleak. Eur J Vasc Endovasc Surg 2007; 34: 432-441
- 11 Jung EM, Rennert J, Fellner C et al. Detection and characterization of endoleaks following endovascular treatment of abdominal aortic aneurysms using contrast harmonic imaging (CHI) with quantitative perfusion analysis (TIC) compared to CT angiography (CTA). Ultraschall Med 2010; 31: 564-570
- 12 Iezzi R, Cotroneo AR, Filippone A et al. Multidetector CT in abdominal aortic aneurysm treated with endovascular repair: are unenhanced and delayed phase enhanced images effective for endoleak detection?. Radiology 2006; 241: 915-921
- 13 Stavropoulos SW, Charagundla SR. Imaging techniques for detection and management of endoleaks after endovascular aortic aneurysm repair. Radiology 2007; 243: 641-655
- 14 Numburi UD, Schoenhagen P, Flamm SD et al. Feasibility of dual-energy CT in the arterial phase: Imaging after endovascular aortic repair. Am J Roentgenol 2010; 195: 486-493
- 15 Stolzmann P, Frauenfelder T, Pfammatter T et al. Endoleaks after endovascular abdominal aortic aneurysm repair: detection with dual-energy dual-source CT. Radiology 2008; 249: 682-691
- 16 Ascenti G, Mazziotti S, Lamberto S et al. Dual-energy CT for detection of endoleaks after endovascular abdominal aneurysm repair: usefulness of colored iodine overlay. Am J Roentgenol 2011; 196: 1408-1414
- 17 Müller-Wille R, Borgmann T, Wohlgemuth WA et al. Dual-energy computed tomography after endovascular aortic aneurysm repair: the role of hard plaque imaging for endoleak detection. Eur Radiol 2014; 24: 2449-2457
- 18 Iezzi R, Nestola M, Coppola G et al. Post-EVAR split-bolus CT-angiography using dual-energy CT: All you need is a aingle scan! Abstract B-0059. . Insights Imaging 2015; 6: 159-445
- 19 Resta EC, Secchi F, Giardino A et al. Non-contrast MR imaging for detecting endoleak after abdominal endovascular aortic repair. Int J Cardiovasc Imaging 2013; 29: 229-235
- 20 Van Keulen JW, van Prehn J, Prokop M et al. Potential value of aneurysm sac volume measurements in addition to diameter measurements after endovascular aneurysm repair. J Endovasc Ther 2009; 16: 506-513
- 21 Wever J, Blankensteijn J, Th M Mali WP et al. Maximal aneurysm diameter follow-up is inadequate after endovascular abdominal aortic aneurysm repair. Eur J Endovasc Surg 2000; 20: 177-182
- 22 Fillinger M. Excluder Bifurcated Endoprosthesis Clinical Investigators.Three-dimensional analysis of enlarging aneurysms after endovascular abdominal aortic aneurysm repair in the Gore Excluder Pivotal clinical trial. J Vasc Surg 2006; 43: 888-895
- 23 Chaikof EL, Blankensteijn JD, Harris PL et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg 2002; 35: 1048-1060
- 24 Moll FL, Powell JT, Fraedrich G et al. European Society for Vascular Surgery. Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg 2011; 41: 1-S58
- 25 Schlösser FJ, Gusberg RJ, Dardik A et al. Aneurysm rupture after EVAR: Can the ultimate failure be predicted?. Eur J Vasc Endovasc Surg 2009; 37: 15-22
- 26 Chun JY, Morgan R. Transcatheter embolisation of type 1 endoleaks after endovascular aortic aneurysm repair with Onyx: when no other treatment option is feasible. Eur J Vasc Endovasc Surg 2013; 45: 141-144
- 27 Henrikson O, Roos H, Falkenberg M. Ethylene vinyl alcohol copolymer (Onyx) to seal type 1 endoleak. A new technique. Vascular 2011; 19: 77-81
- 28 Eberhardt KM, Sadeghi-Azandaryani M, Worlicek S et al. Treatment of type I endoleaks using transcatheter embolization with onyx. J Endovasc Ther 2014; 21: 162-171
- 29 Sidloff DA, Stather PW, Choke E et al. Type II endoleak after endovascular aneurysm repair. Br J Surg 2013; 100: 1262-1270
- 30 Jones JE, Atkins MD, Brewster DC et al. Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes. J Vasc Surg 2007; 46: 1-8
- 31 Timaran CH, Ohki T, Rhee SJ et al. Predicting aneurysm enlargement in patients with persistent type II endoleaks. J Vasc Surg 2004; 39: 1157-1162
- 32 Keedy AW, Yeh BM, Kohr JR et al. Evaluation of potential outcome predictors in type II endoleak: a retrospective study with CT angiography features analysis. Am J Roentgenol 2011; 197: 234-240
- 33 Müller-Wille R, Schötz S, Zeman F et al. CT features of early type II endoleaks after endovascular repair of abdominal aortic aneurysms help predict aneurysm sac enlargement. Radiology 2015; 274: 906-916
- 34 Stavropoulos SW, Park J, Fairman R et al. Type 2 endoleak embolization comparison: translumbar embolization versus modified transarterial embolization. J Vasc Interv Radiol 2009; 20: 1299-1302
- 35 Müller-Wille R, Wohlgemuth WA, Heiss P et al. Transarterial embolization of type II endoleaks after EVAR: the role of ethylene vinyl alcohol copolymer (Onyx). Cardiovasc Intervent Radiol 2013; 36: 1288-1295
- 36 Mansueto G, Cenzi D, D’Onofrio M et al. Treatment of type II endoleaks after endovascular repair of abdominal aortic aneurysms: transcaval approach. Cardiovasc Intervent Radiol 2005; 28: 641-645
- 37 Nevala T, Biancari F, Manninen H et al. Type II endoleak after endovascular repair of abdominal aortic aneurysm: effectiveness of embolization. Cardiovasc Intervent Radiol 2010; 33: 278-284
- 38 Massis K, Carson 3rd WG, Rozas A et al. Treatment of type II endoleaks with ethylene-vinyl-alcohol copolymer (Onyx). Vasc Endovascular Surg 2012; 46: 251-257
- 39 Abularrage CJ, Patel VI, Conrad MF et al. Improved results using Onyx glue for the treatment of persistent type 2 endoleak after endovascular aneurysm repair. J Vasc Surg 2012; 56: 630-636
- 40 Bosiers MJ, Schwindt A, Donas KP et al. Midterm results of the transarterial use of Onyx in the treatment of persisting type II endoleaks after EVAR. J Cardiovasc Surg (Torino) 2013; 54: 469-475
- 41 Wohlgemuth WA, Uller W, Müller-Wille R. Flüssigembolisate – Onyx als Problemlöser. Radiologe 2013; 53: 223-229
- 42 Bonvini R, Alerci M, Antonucci F et al. Preoperative embolization of collateral side branches: a valid means to reduce type II endoleaks after endovascular AAA repair. J Endovasc Ther 2003; 10: 227-232
- 43 Axelrod DJ, Lookstein RA, Guller J et al. Inferior mesenteric artery embolization before endovascular aneurysm repair: technique and initial results. J Vasc Interv Radiol 2004; 15: 1263-1267
- 44 Muthu C, Maani J, Plank LD et al. Strategies to reduce the rate of type II endoleaks: routine intraoperative embolization of the inferior mesenteric artery and thrombin injection into the aneurysm sac. J Endovasc Ther 2007; 14: 661-668
- 45 Müller-Wille R, Uller W, Gössmann H et al. Inferior mesenteric artery embolization before endovascular aortic aneurysm repair using amplatzer vascular plug type 4. Cardiovasc Intervent Radiol 2014; 37: 928-934
- 46 Ward TJ, Cohen S, Fischman AM et al. Preoperative inferior mesenteric artery embolization before endovascular aneurysm repair: decreased incidence of type II endoleak and aneurysm sac enlargement with 24-month follow-up. J Vasc Interv Radiol 2013; 24: 49-55