Classification of endoleaks

Changed by Andrew Murphy, 9 Jan 2017

Updates to Article Attributes

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Endoleaks occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement.

Classification

There are five types:

  • type 1: leak at graft ends (inadequate seal) - most common after repair of thoracic aortic aneurysms 4
    • 1a: proximal
    • 1b: distal
    • 1c: iliac occluder
  • type 2: sac filling via branch vessel (e.g. lumbar or inferior mesenteric artery)
    • most common after repair of abdominal aortic aneurysms 4 (80%)
    • sometimes referred to as a "retroleak"
    • enthusiastic examiners sometimes ask for the eponymous name of the large collateral artery between the IMA and SMA = Riolan's arch
    • most spontaneously resolve and require no treatment
    • 2a: single vessel
    • 2b: two vessels or more
  • type 3: leak through a defect in graft fabric (mechanical failure of graft)
    • 3a: junctional separation of the modular components
    • 3b: fractures or holes involving the endograft
  • type 4: a generally porous graft (intentional design of graft)
  • type 5: endotension
  • -<p><strong><a href="/articles/endoleak">Endoleaks</a></strong> occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement.</p><h4>Classification</h4><p>There are five types:</p><ul>
  • +<p><a href="/articles/endoleak">Endoleaks</a> occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement.</p><h4>Classification</h4><p>There are five types:</p><ul>

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