Rosen Robert J, Green Richard M
Lenox Hill Heart and Vascular Institute of New York, Lenox Hill Hospital, 100 East 77th Street, New York, NY 10075, USA.
J Vasc Interv Radiol. 2008 Jun;19(6 Suppl):S37-43. doi: 10.1016/j.jvir.2008.01.017.
Endoleaks continue to be a challenge in the endovascular approach to aneurysm repair, both in the abdominal and thoracic aorta. Some of these leaks are related to anatomic factors and patient selection, others are device related, and some (especially type II leaks) appear intrinsic to the endovascular approach. Certain endoleaks require treatment as soon as they are detected due to continued pressurization of the aneurysm sac, while the need for treatment of others remains controversial. Using endovascular techniques, the vast majority of these problems can be successfully addressed without the need for open surgery. This paper reviews our 14 year experience in the management of endoleaks and summarizes our current approach to these patients.
无论是在腹主动脉还是胸主动脉，内漏仍然是血管内动脉瘤修复术面临的一个挑战。其中一些漏血与解剖因素和患者选择有关，另一些与器械有关，还有一些（尤其是Ⅱ型漏血）似乎是血管内治疗方法所固有的。某些内漏一旦发现，由于动脉瘤腔持续受压，需要立即治疗，而其他内漏是否需要治疗仍存在争议。采用血管内技术，绝大多数这些问题无需开放手术即可成功解决。本文回顾了我们14年来处理内漏的经验，并总结了我们目前对这些患者的治疗方法。
