Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery

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Presentation transcript:

Clinical consequences of periprosthetic leak after endovascular repair of abdominal aortic aneurysm Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery Volume 27, Issue 4, Pages 606-613 (April 1998) DOI: 10.1016/S0741-5214(98)70224-1 Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 The tree diagram illustrates the complex course of patients with unsealed and sealed leaks. Journal of Vascular Surgery 1998 27, 606-613DOI: (10.1016/S0741-5214(98)70224-1) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Major diameters of all aneurysms with leaks are plotted between times when a leak was present, including the intervals adjacent to when a leak was not detected by computed tomography. A reduction in size frequently occurs in the last period because of leak cessation early in the interval. The largest aneurysm is off the scale of this graft; it enlarged from 11.51 to 11.96 cm between implantation and the 5-month follow-up assessment. Journal of Vascular Surgery 1998 27, 606-613DOI: (10.1016/S0741-5214(98)70224-1) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Major diameters of individual aneurysms with leaks that ceased spontaneously or because of treatment. Only intervals between computed tomography scans with no leaks are depicted. Sealing of leaks was associated with reversal of aneurysm enlargement in all but two cases. One patient with marked aneurysm enlargement was found to have a leak months after enlargement could be detected, illustrating the importance of lifetime monitoring of aneurysm size and thorough investigation of enlarging aneurysms. Journal of Vascular Surgery 1998 27, 606-613DOI: (10.1016/S0741-5214(98)70224-1) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Computed tomography (CT) scans from an area of maximum aneurysm size demonstrate enlargement of the aneurysm sac immediately after (left), 18 months after (middle), and 24 months after graft placement (right). The recurrent endoleak is visible only on thin-cut CT images of the distal neck and is not seen on these aortic images. Journal of Vascular Surgery 1998 27, 606-613DOI: (10.1016/S0741-5214(98)70224-1) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions