In this study we focus on Type II endoleak (T2EL) is the most well-known endoleak after endovascular aneurysm fix (EVAR). Its ideal administration has been dubiously talked about. In this way, starter specific embolization of aneurysm sac side branches (ASSBs) has been embraced to forestall T2EL. Our objective was to decide the pace of T2EL and the measurement decline of stomach aortic aneurysms (AAAs) after EVAR performed after preemptive embolization of ASSBs.
From September 2014 to September 2019, 139 patients with AAAs went through percutaneous ASSB embolization before EVAR. Follow-up imaging considers were performed at 1 and a half year and every year from there on. The end focuses included independence from T2EL, AAA sac shrinkage, T2EL-related reinterventions, and all-cause mortality.
The mean follow-up was 23 ± 16 months (range, 1-61 months). The patients had a middle of five (territory, one to eight) patent ASSBs found on preoperative imaging considers. After finish of embolization, 76.4% of the at first patent ASSBs were blocked, with no significant technique related inconveniences. Follow-up imaging contemplates showed T2ELs in seven patients (5%), with an aneurysm sac increment found in six of these patients.
Reference link- https://www.jvascsurg.org/article/S0741-5214(20)32504-0/fulltext
