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Evolving concepts and management of endoleaks after endovascular aneurysm repair: where do we stand in 2019?

Authors
  • Cannavale, A1
  • Lucatelli, P2
  • Corona, M2
  • Nardis, P2
  • Basilico, F2
  • De Rubeis, G2
  • Santoni, M3
  • Catalano, C3
  • Bezzi, M2
  • 1 Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy. Electronic address: [email protected] , (Italy)
  • 2 Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy. , (Italy)
  • 3 Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy. , (Italy)
Type
Published Article
Journal
Clinical radiology
Publication Date
Dec 03, 2019
Identifiers
DOI: 10.1016/j.crad.2019.10.023
PMID: 31810539
Source
Medline
Language
English
License
Unknown

Abstract

In recent years, there has been tremendous progress in endovascular aneurysm repair (EVAR) techniques and devices. This process has seen a change in incidence, risk factors, and treatment of endoleaks as well as in follow-up protocols after EVAR. In particular, recent literature has highlighted new concepts in the evaluation and prevention/treatment of type I and II endoleak after standard EVAR. There is also recent evidence regarding new imaging protocols for follow-up after EVAR, which include magnetic resonance imaging and contrast-enhanced ultrasound. This comprehensive review aims to outline the most recent concepts on imaging follow-up, pathophysiology/risk factors, and management of endoleaks. Copyright © 2019 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

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