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Current assessment and management of endoleaks after advanced EVAR: new devices, new endoleaks?
Cannavale, Alessandro; Lucatelli, Pierleone; Corona, Mario; Nardis, Piergiorgio; Cannavale, Giuseppe; De Rubeis, Gianluca; Santoni, Mariangela; Maher, Ben; Catalano, Carlo; Bezzi, Mario.
Afiliación
  • Cannavale A; Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy.
  • Lucatelli P; Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy.
  • Corona M; Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy.
  • Nardis P; Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy.
  • Cannavale G; Department of Radiological Sciences, "Sapienza" University of Rome , Rome, Italy.
  • De Rubeis G; Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy.
  • Santoni M; Department of Radiological Sciences, "Sapienza" University of Rome , Rome, Italy.
  • Maher B; Department of Interventional Radiology, University Hospital Southampton NHS Foundation Trust , Southampton, UK.
  • Catalano C; Department of Radiological Sciences, "Sapienza" University of Rome , Rome, Italy.
  • Bezzi M; Vascular and Interventional Unit, Department of Radiological Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Rome, Italy.
Expert Rev Cardiovasc Ther ; 18(8): 465-473, 2020 Aug.
Article en En | MEDLINE | ID: mdl-32634069
INTRODUCTION: In recent years there has been an increasing application of advanced EVAR techniques to tackle complex clinical and anatomical scenarios. In a bid to overcome the limitations of the traditional stent-grafts, newer EVAR endografts and techniques have been developed and introduced into clinical practice, permitting endovascular management of difficult infrarenal, juxta-renal and thoracoabdominal aneurysms for which previously there was no endovascular solution. As a consequence, we are now confronted with unique patterns of endoleak requiring customized clinical-radiological assessment and treatment. Despite the increasing body of evidence regarding new EVAR techniques and related endoleaks, current guidelines do not specifically address these issues. OBJECTIVES: Our review aims to assess risk factors, development, and management strategies of these endoleaks, in the most recent infrarenal EVAR devices and in more complex fenestrated EVAR (FEVAR) and Chimney EVAR (Ch-EVAR). EXPERT OPINION: Most new devices have demonstrated types of endoleaks that need specific imaging and treatment, as in EVAS, FEVAR, and ChEVAR. Knowledge of specific stent-graft characteristics and the nature of endoleaks associated with the various procedures facilitates the application of relevant useful imaging. In addition, it should aid development of a customized and practically relevant approach to patient management during intervention and follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma de la Aorta Abdominal / Manejo de la Enfermedad / Implantación de Prótesis Vascular / Endofuga / Procedimientos Endovasculares Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Expert Rev Cardiovasc Ther Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / TERAPEUTICA Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma de la Aorta Abdominal / Manejo de la Enfermedad / Implantación de Prótesis Vascular / Endofuga / Procedimientos Endovasculares Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Expert Rev Cardiovasc Ther Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / TERAPEUTICA Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido