Endoleaks after endovascular repair of thoracic aortic aneurysms

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Presentation transcript:

Endoleaks after endovascular repair of thoracic aortic aneurysms Shane S. Parmer, MD, Jeffrey P. Carpenter, MD, S. William Stavropoulos, MD, Ronald M. Fairman, MD, Alberto Pochettino, MD, Edward Y. Woo, MD, G. William Moser, MSN, RN, Joseph E. Bavaria, MD Journal of Vascular Surgery Volume 44, Issue 3, Pages 447-452 (September 2006) DOI: 10.1016/j.jvs.2006.05.041 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Radiographic appearance of endoleaks. A, Three-dimensional reconstruction demonstrating a proximal type I endoleak. B, A type II endoleak is demonstrated on computed tomographic angiography with contrast filling the aneurysm sac and in communication with an intercostal artery (arrow). C, A type III endoleak between endograft components (arrow) is demonstrated on computed tomographic angiography. D, Three-dimensional reconstruction of the type III endoleak depicted in C. The aneurysm sac and contained thrombus are not included in the reconstructed image. Journal of Vascular Surgery 2006 44, 447-452DOI: (10.1016/j.jvs.2006.05.041) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Graphic plot of change in aneurysm sac diameter over time after endovascular repair of thoracic aortic aneurysms (TEVAR) in patients with postoperative type I endoleaks. Solid lines represent patients who successfully underwent endovascular treatment at the time indicated (*). The patient who had unsuccessful endovascular treatment (dotted line) was also treated at the time marked (*). Spontaneous endoleak thrombosis occurred in three patients (dashed line) at the times indicated (x). B, Plot of change in aneurysm sac diameter over time after TEVAR in patients with type II endoleaks. Two patients had spontaneous thrombosis of the endoleak (dashed line) at the times indicated (x). C, Plot of change in aneurysm sac diameter over time after TEVAR in patients with type III endoleaks. All leaks remained persistent. One patient developed a late endoleak at 2 years (‡). Journal of Vascular Surgery 2006 44, 447-452DOI: (10.1016/j.jvs.2006.05.041) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Bar graph depicting the average change in aneurysm sac diameter in patients with no endoleak. The number of patients at each time period is indicated in parentheses. Journal of Vascular Surgery 2006 44, 447-452DOI: (10.1016/j.jvs.2006.05.041) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions