Baum Richard A, Stavropoulos S William, Fairman Ronald M, Carpenter Jeffrey P
Section of Interventional Radiology, Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, Massachusetts 02115, USA.
J Vasc Interv Radiol. 2003 Sep;14(9 Pt 1):1111-7. doi: 10.1097/01.rvi.0000085773.71254.86.
Endovascular repair of abdominal aortic aneurysms shows promising initial results. Endoleaks represent one of the unique causes of endovascular repair failure not seen with traditional abdominal aortic aneurysm repair. Endoleaks occur when there is blood flow outside the stent-graft lumen but within the aneurysm sac. They can be difficult to diagnose and treat, and their management is a source of continued controversy. This review further defines endoleaks and the clinical challenges that they create. Current methods for endoleak detection, classification, and management are reviewed.
腹主动脉瘤的血管内修复显示出有希望的初步结果。内漏是血管内修复失败的独特原因之一，传统腹主动脉瘤修复中未见此情况。当支架移植物管腔内无血流但动脉瘤腔内有血流时，就会发生内漏。它们可能难以诊断和治疗，其处理一直存在争议。本综述进一步明确了内漏及其带来的临床挑战。对目前内漏检测、分类和处理的方法进行了综述。
