Key result
This review highlights the pathophysiological mechanisms associated with endograft limb thrombosis following endovascular repair of aortic aneurysms to help prevent iliac adverse effects.
This review highlights the pathophysiological mechanisms of endograft limb thrombosis following EVAR to help prevent iliac adverse effects.
May guide EVAR limb thrombosis prevention; leaves open prospective validation of mechanisms.
Since the advent of endovascular repair of aortic aneurysms (EVAR), clinical focus has been on preventing loss of sealing at the level of the infrarenal neck, which leads to type I endoleak and repressurization of the aneurysm sac. Enhanced mechanisms for central fixation and seal have consequently lowered the incidence of migration and endoleaks. However, endograft limb thrombosis and its causal mechanisms have not been addressed adequately in the literature. This article reviews the pathophysiological mechanisms associated with limb thrombosis in order to facilitate better clinical judgment to prevent iliac adverse effects.
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Georgakarakos et al. (2015) conducted a review in Abdominal aortic aneurysms. Endovascular repair of aortic aneurysms (EVAR) was evaluated. This review highlights the pathophysiological mechanisms associated with endograft limb thrombosis following endovascular repair of aortic aneurysms to help prevent iliac adverse effects.
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