Key result
Patient-tailored treatment strategies using endovascular, open surgical, and hybrid techniques are required for managing type Ia endoleaks following TEVAR in specialized aortic centers.
Why the study?
Type Ia endoleaks due to failed sealing or loss of landing zone and their adequate management remain crucial for long-term therapeutic success following TEVAR.
Management of type Ia endoleaks requires patient-tailored treatment strategies and specialized multidisciplinary aortic centers.
May support tailored repairs for post-TEVAR Type Ia endoleaks; hypothesis-generating and requires prospective validation.
Type Ia endoleaks due to failed sealing or loss of landing zone and the adequate management thereof remain crucial for long-term therapeutic success following TEVAR. This expert opinion summarizes our institutional experience with endovascular, open surgical, and hybrid techniques in the context of recent scientific publications. The rapid turnover of technical innovations, but most importantly outcome data demonstrate the requirement for increasingly patient-tailored treatment strategies and the need for specialized aortic centers. The latter should offer a complete range of treatment options, an adequate perioperative management, and the highest level of multidisciplinary expertise.
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Peterß et al. (2023) conducted a review in Type Ia endoleaks following TEVAR. Endovascular, open surgical, and hybrid techniques was evaluated. Patient-tailored treatment strategies using endovascular, open surgical, and hybrid techniques are required for managing type Ia endoleaks following TEVAR in specialized aortic centers.
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