Endovascular solutions for type IA endoleak after endovascular aneurysm repair
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://hdl.handle.net/10216/134364 |
Resumo: | Introduction: Endovascular aneurysm repair (EVAR) has largely overcome open surgery for Abdominal Aortic Aneurysm (AAA) repair and stands for the preferred method. Type IA endoleak (E1A) is a well-known EVAR-specific complicate with an incidence of 3.5-15.5%. There is consensus on the expedite need for E1A correction due to continuous sac pressurization. Many possible approaches are available to correct E1A. The present review aims to describe endovascular options for E1A repair. Material and methods: MEDLINE databases were searched in order to find the available evidence on the management of persistent E1A. The research included articles between January 2010 and October 2020. Results: Seventeen studies were included with a total of 320 patients. The primary technical success was higher with Endovascular Aneurysm Sealing with or without chimney, with endoleak sealing rates up to 100%. Regarding reintervention rates, EndoAnchoring presented fewer incidence. Freedom from endoleak at the end of follow-up (FU) was higher with proximal cuffs and Chimney EVAR (ChEVAR). For conservative approach, the results show reintervention rates between 4-11% and freedom from endoleak at the end of FU with or without treatment around 90%. Conclusions: Several techniques are currently available for E1A repair. Nonetheless, larger studies are needed to understand which techniques are better for each case. |
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Endovascular solutions for type IA endoleak after endovascular aneurysm repairMedicina clínicaClinical medicineIntroduction: Endovascular aneurysm repair (EVAR) has largely overcome open surgery for Abdominal Aortic Aneurysm (AAA) repair and stands for the preferred method. Type IA endoleak (E1A) is a well-known EVAR-specific complicate with an incidence of 3.5-15.5%. There is consensus on the expedite need for E1A correction due to continuous sac pressurization. Many possible approaches are available to correct E1A. The present review aims to describe endovascular options for E1A repair. Material and methods: MEDLINE databases were searched in order to find the available evidence on the management of persistent E1A. The research included articles between January 2010 and October 2020. Results: Seventeen studies were included with a total of 320 patients. The primary technical success was higher with Endovascular Aneurysm Sealing with or without chimney, with endoleak sealing rates up to 100%. Regarding reintervention rates, EndoAnchoring presented fewer incidence. Freedom from endoleak at the end of follow-up (FU) was higher with proximal cuffs and Chimney EVAR (ChEVAR). For conservative approach, the results show reintervention rates between 4-11% and freedom from endoleak at the end of FU with or without treatment around 90%. Conclusions: Several techniques are currently available for E1A repair. Nonetheless, larger studies are needed to understand which techniques are better for each case.2021-05-242021-05-24T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttps://hdl.handle.net/10216/134364TID:202848973engIsabel Maria da Costa Vianainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-29T13:02:27Zoai:repositorio-aberto.up.pt:10216/134364Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:32:22.385061Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair |
title |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair |
spellingShingle |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair Isabel Maria da Costa Viana Medicina clínica Clinical medicine |
title_short |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair |
title_full |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair |
title_fullStr |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair |
title_full_unstemmed |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair |
title_sort |
Endovascular solutions for type IA endoleak after endovascular aneurysm repair |
author |
Isabel Maria da Costa Viana |
author_facet |
Isabel Maria da Costa Viana |
author_role |
author |
dc.contributor.author.fl_str_mv |
Isabel Maria da Costa Viana |
dc.subject.por.fl_str_mv |
Medicina clínica Clinical medicine |
topic |
Medicina clínica Clinical medicine |
description |
Introduction: Endovascular aneurysm repair (EVAR) has largely overcome open surgery for Abdominal Aortic Aneurysm (AAA) repair and stands for the preferred method. Type IA endoleak (E1A) is a well-known EVAR-specific complicate with an incidence of 3.5-15.5%. There is consensus on the expedite need for E1A correction due to continuous sac pressurization. Many possible approaches are available to correct E1A. The present review aims to describe endovascular options for E1A repair. Material and methods: MEDLINE databases were searched in order to find the available evidence on the management of persistent E1A. The research included articles between January 2010 and October 2020. Results: Seventeen studies were included with a total of 320 patients. The primary technical success was higher with Endovascular Aneurysm Sealing with or without chimney, with endoleak sealing rates up to 100%. Regarding reintervention rates, EndoAnchoring presented fewer incidence. Freedom from endoleak at the end of follow-up (FU) was higher with proximal cuffs and Chimney EVAR (ChEVAR). For conservative approach, the results show reintervention rates between 4-11% and freedom from endoleak at the end of FU with or without treatment around 90%. Conclusions: Several techniques are currently available for E1A repair. Nonetheless, larger studies are needed to understand which techniques are better for each case. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-24 2021-05-24T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://hdl.handle.net/10216/134364 TID:202848973 |
url |
https://hdl.handle.net/10216/134364 |
identifier_str_mv |
TID:202848973 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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