Key result
Open surgery provides a treatment option for endoleaks after failed endovascular or percutaneous approaches.
Why the study?
While reinterventions for endoleaks after EVAR are typically managed endovascularly or percutaneously, minimally invasive repairs can fail and require surgical techniques.
Open surgical techniques remain an important option for treating endoleaks after EVAR when minimally invasive endovascular approaches fail.
Supports open conversion for refractory endoleaks after failed endovascular repair; leaves open optimal patient selection and durability in prospective data.
In the appropriate patient population, endovascular aortic repair (EVAR) has become the standard of care for abdominal aortic aneurysms. While the initial success rates of EVAR are very high, reinterventions occur in a significant minority of patients, most of which consist of the repair of endoleaks. When indicated, such procedures are typically performed via endovascular or percutaneous approaches; however, in certain patients, these minimally invasive repairs fail. In these patients, surgical techniques can be used to treat the endoleaks. This article describes the open surgical techniques used in the repair of endoleaks where standard endovascular techniques fail.
No takes yet. Share an insight, caveat, or question.
Delbono et al. (2024) conducted a review in Abdominal aortic aneurysms with endoleaks failing endovascular repair. Open surgical techniques was evaluated. Open surgical techniques provide a treatment option for endoleaks in patients where standard endovascular or percutaneous approaches have failed after endovascular aortic repair.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: