Clinical significance of type I endoleak on completion angiography
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Suh Min | - |
dc.contributor.author | Ra, Hwan Do | - |
dc.contributor.author | Min, Sang-Il | - |
dc.contributor.author | Jae, Hwan Jun | - |
dc.contributor.author | Ha, Jongwon | - |
dc.contributor.author | Min, Seung-Kee | - |
dc.date.accessioned | 2024-01-09T14:32:44Z | - |
dc.date.available | 2024-01-09T14:32:44Z | - |
dc.date.issued | 2014-02 | - |
dc.identifier.issn | 2288-6575 | - |
dc.identifier.issn | 2288-6796 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70454 | - |
dc.description.abstract | Purpose: Type I endoleak is known to be associated with sac enlargement and occasional rupture, therefore, the treatment of type I endoleak is recommended at the time of diagnosis. The aim of this study was to identify the significance of early type I endoleak found on completion angiography. Methods: Between January 2000 and December 2012, a total of 86 patients underwent endovascular abdominal aortic aneurysm repair (EVAR) and 10 patients (11.6%) were diagnosed with type Ia endoleak on completion angiography. Clinical and radiologic data were reviewed retrospectively. Results: Of the 10 patients, two underwent EVAR with custom-made stent-grafts in the initial stage and both of them needed immediate treatment: one case involved open repair while the other involved insertion of an additional stent-graft. In 8 patients, the amount of leakage decreased after repeated balloon molding. They were managed conservatively and followed up with computed tomography angiography within 2 weeks after EVAR. In 7 of the 8 cases, type Ia endoleaks disappeared. In one patient with a persistent endoleak and a folded posterior wall of the stent-graft, coil embolization was performed 1 week after EVAR. With a median follow-up of 12 months (range, 1-61 months), no patients showed recurrence of type I endoleak or sac expansion. Conclusion: Type I endoleaks diagnosed on completion angiography sealed spontaneously in 7 of 10 patients (70.0%). In cases of decreased amounts of leakage after balloon molding, simple observation may be an alternative to repetitive procedures. The long-term follow-up of patients with self-sealed type I endoleaks is mandatory. Copyright © 2014, the Korean Surgical Society. | - |
dc.format.extent | 5 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Korean Surgical Society | - |
dc.title | Clinical significance of type I endoleak on completion angiography | - |
dc.type | Article | - |
dc.identifier.doi | 10.4174/astr.2014.86.2.95 | - |
dc.identifier.bibliographicCitation | Annals of Surgical Treatment and Research, v.86, no.2, pp 95 - 99 | - |
dc.identifier.kciid | ART001845988 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-84905026068 | - |
dc.citation.endPage | 99 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 95 | - |
dc.citation.title | Annals of Surgical Treatment and Research | - |
dc.citation.volume | 86 | - |
dc.type.docType | Article | - |
dc.publisher.location | 대한민국 | - |
dc.subject.keywordAuthor | Abdominal aortic aneurysm | - |
dc.subject.keywordAuthor | Endoleak | - |
dc.subject.keywordAuthor | Endovascular aneurysm repair | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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