Diagnosis and Management of Endoleak after Endovascular Aneurysm Repair in Abdominal Aortic Aneurysm_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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郭偉 , 楊代華

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Keywords：

腹部; 主動脈瘤; 腔內修復術; 內漏

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腹主動脈瘤（AAA）腔內修復術（EVAR）是目前大動脈病變腔內治療最成熟的技術之一。AAA EVAR術后內漏指支架型血管置入后，在支架型血管腔外、被曠置的瘤體及鄰近血管腔內出現持續性血流的現象［1~3］。內漏是AAA EVAR術后最為常見、對療效影響很大的并發癥，其發生率大約15%～50%［4］。內漏可導致瘤體進一步增大甚至破裂。目前，內漏的機理尚不完全明確，診斷與治療方面也存在爭議。現根據我院臨床經驗，結合近年來相關文獻報道探討AAA EVAR術后內漏的診治。......

Citation： 郭偉,楊代華. Diagnosis and Management of Endoleak after Endovascular Aneurysm Repair in Abdominal Aortic Aneurysm. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(6): 636-637. doi: Copy

1.	White GH, Yu W, May J. Endoleak——a proposed new terminology to describe incomplete aneurysm exclusion by an endoluminal graft [J]. J Endovasc Surg, 1996; 3(1)∶124.
2.	White GH, Yu W, May J, et al. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management [J]. J Endovasc Surg, 1997; 4(2)∶152.
3.	White GH, May J, Waugh RC, et al. Type Ⅲ and type Ⅳ endoleak: toward a complete definition of blood flow in the sac after endoluminal AAA repair [J]. J Endovasc Surg, 1998; 5(4)∶305.
4.	Veith FJ, Baum RA, Ohki T, et al. Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference [J]. J Vasc Surg, 2002; 35(5)∶1029.
5.	Chaikof EL, Blankensteijn JD, Harris PL, et al. Reporting standards for endovascular aortic aneurysm repair [J]. J Vasc Surg, 2002; 35(5)∶1048.
6.	Buth J, Harris PL, van Marrewijk C, et al. The significance and management of different types of endoleaks [J]. Semin Vasc Surg, 2003; 16(2)∶95.
7.	Golzarian J, Struyven J, Abada HT, et al. Endovascular aortic stent-grafts: transcatheter embolization of persistent perigraft leaks [J]. Radiology, 1997; 202(3)∶731.
8.	Amesur NB, Zajko AB, Orons PD, et al. Embolotherapy of persistent endoleaks after endovascular repair of abdominal aortic aneurysm with the ancure-endovascular technologies endograft system [J]. J Vasc Interv Radiol, 1999; 10(9)∶1175.
9.	Khilnani NM, Sos TA, Trost DW, et al. Embolization of backbleeding lumbar arteries filling an aortic aneurysm sac after endovascular stent-graft placement [J]. J Vasc Interv Radiol, 1996; 7(6)∶813.
10.	LaBerge JM, Sawhney R, Wall SD, et al. Retrograde catheterization of the inferior mesenteric artery to treat endoleaks: anatomic and technical considerations [J]. J Vasc Interv Radiol, 2000; 11(1)∶55.
11.	Cerveira JJ, Cohen JR. Laparoscopically assisted abdominal ao-rtic aneurysm repair [J]. Surg Clin North Am, 1999; 79(3)∶541.
12.	Cynamon J, Federman AS, Veith FJ. Repair of junctional st-ent-graft leaks with use of a bare metal stent [J]. J Vasc Interv Radiol, 1999; 10(3)∶275.

1. 　White GH, Yu W, May J. Endoleak——a proposed new terminology to describe incomplete aneurysm exclusion by an endoluminal graft [J]. J Endovasc Surg, 1996; 3(1)∶124.
2. 　White GH, Yu W, May J, et al. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management [J]. J Endovasc Surg, 1997; 4(2)∶152.
3. 　White GH, May J, Waugh RC, et al. Type Ⅲ and type Ⅳ endoleak: toward a complete definition of blood flow in the sac after endoluminal AAA repair [J]. J Endovasc Surg, 1998; 5(4)∶305.
4. 　Veith FJ, Baum RA, Ohki T, et al. Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference [J]. J Vasc Surg, 2002; 35(5)∶1029.
5. 　Chaikof EL, Blankensteijn JD, Harris PL, et al. Reporting standards for endovascular aortic aneurysm repair [J]. J Vasc Surg, 2002; 35(5)∶1048.
6. 　Buth J, Harris PL, van Marrewijk C, et al. The significance and management of different types of endoleaks [J]. Semin Vasc Surg, 2003; 16(2)∶95.
7. 　Golzarian J, Struyven J, Abada HT, et al. Endovascular aortic stent-grafts: transcatheter embolization of persistent perigraft leaks [J]. Radiology, 1997; 202(3)∶731.
8. 　 Amesur NB, Zajko AB, Orons PD, et al. Embolotherapy of persistent endoleaks after endovascular repair of abdominal aortic aneurysm with the ancure-endovascular technologies endograft system [J]. J Vasc Interv Radiol, 1999; 10(9)∶1175.
9. 　Khilnani NM, Sos TA, Trost DW, et al. Embolization of backbleeding lumbar arteries filling an aortic aneurysm sac after endovascular stent-graft placement [J]. J Vasc Interv Radiol, 1996; 7(6)∶813.
10. 　LaBerge JM, Sawhney R, Wall SD, et al. Retrograde catheterization of the inferior mesenteric artery to treat endoleaks: anatomic and technical considerations [J]. J Vasc Interv Radiol, 2000; 11(1)∶55.
11. 　Cerveira JJ, Cohen JR. Laparoscopically assisted abdominal ao-rtic aneurysm repair [J]. Surg Clin North Am, 1999; 79(3)∶541.
12. 　Cynamon J, Federman AS, Veith FJ. Repair of junctional st-ent-graft leaks with use of a bare metal stent [J]. J Vasc Interv Radiol, 1999; 10(3)∶275.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Management of Endoleak after Endovascular Aneurysm Repair in Abdominal Aortic Aneurysm

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