Risk factors and consequences of persistent type II endoleaks

Journal of Vascular Surgery
Ruby C LoVascular Study Group of New England

Abstract

Type II endoleaks are common after endovascular aneurysm repair (EVAR), but their clinical significance remains undefined and their management controversial. We determined risk factors for type II endoleaks and associations with adverse outcomes. We identified all EVAR patients in the Vascular Study Group of New England abdominal aortic aneurysm database. Patients were subdivided into two groups: (1) those with no endoleak or transient type II endoleak and (2) persistent type II endoleak or new type II endoleak (no endoleak at completion of case). Patients with other endoleak types and follow-up shorter than 6 months were excluded. Multivariable analysis was used to evaluate predictors of persistent or new type II endoleaks. Kaplan-Meier and Cox regression analysis were used to evaluate predictors of reintervention and survival. Two thousand three hundred sixty-seven EVAR patients had information on endoleaks: 1977 (84%) were in group 1, of which 79% had no endoleaks at all, and 21% had transient endoleaks that resolved at follow-up. The other 390 (16%) were in group 2, of which 31% had a persistent leak, and 69% had a new leak at follow-up that was not seen at the time of surgery. Group 2 was older (mean age, 75 vs 73 years; P...Continue Reading

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Citations

Aug 8, 2017·Vascular and Endovascular Surgery·Alicia L SkervinKaji Sritharan
Mar 16, 2019·VASA. Zeitschrift für Gefässkrankheiten·Mária RašiováIvan Tkáč
Apr 6, 2019·Journal of Cardiovascular Medicine·Daniela MazzaccaroGiovanni Nano
Jun 8, 2018·Vascular and Endovascular Surgery·Rosa Marie AndersenOle Graumann
Jun 30, 2019·European Radiology·Min-Jae JeongYong-Pil Cho
Oct 13, 2018·Journal of Surgical Case Reports·Mohamed S KuziezMohamed A Zayed
Jan 15, 2019·Annals of Vascular Diseases·Hirofumi MidorikawaKouichi Satou
Oct 13, 2020·Seminars in Interventional Radiology·Nicholas VoutsinasRobert A Lookstein
Nov 4, 2020·VASA. Zeitschrift für Gefässkrankheiten·Nicholas Andrew BradleyGraeme Guthrie
Dec 22, 2020·Vascular and Endovascular Surgery·Martin RouerDidier Plissonnier
Oct 3, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Jean-Pierre BecqueminAntoine Sauguet
Apr 5, 2020·Annals of Vascular Surgery·Ernesto Arenas AzofraManuel Alonso Pérez
Nov 23, 2018·The Journal of Surgical Research·Harish KrishnamoorthiShirling Tsai
Sep 7, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Marcos Takuya KurokiJohn Radtka
Mar 10, 2019·Journal of Vascular Surgery·Philip DueppersAlexander Oberhuber
Aug 31, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Rita Soares FerreiraFrederico Bastos Gonçalves
Oct 13, 2021·International Journal of Surgery·Marethania M AkmalJoost A van Herwaarden

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