Törnqvist P, Resch T
Vascular Center, Skåne University Hospital, Malmö, Sweden -
J Cardiovasc Surg (Torino). 2014 Apr;55(2 Suppl 1):105-14.
Endoleaks after endovascular aortic repair (EVAR) are a common cause of treatment failure and secondary interventions. Endoleak classification is important to determine both prognosis as well as need for treatment. With increasingly complex endovascular aortic procedures, endoleak classification according to the original classification has become more difficult. A classification into direct and indirect endoleaks as well as precise anatomical description is often more pragmatic. This manuscript outlines mechanisms of endoleak formation and their treatment.
血管腔内主动脉修复术(EVAR)后的内漏是治疗失败和二次干预的常见原因。内漏分类对于确定预后和治疗需求都很重要。随着血管腔内主动脉手术日益复杂,按照原始分类进行内漏分类变得更加困难。将内漏分为直接内漏和间接内漏以及进行精确的解剖学描述通常更为实用。本文概述了内漏形成的机制及其治疗方法。