Die Prophylaxe einer Endoleckage Typ II ist relevant für den 
Langzeiterfolg von EVAR

Matthias Tenholt

doi:10.1055/a-1618-6773

Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie, Table of Contents

Zentralbl Chir 2021; 146(05): 493-497
DOI: 10.1055/a-1618-6773

Übersicht

Die Prophylaxe einer Endoleckage Typ II ist relevant für den Langzeiterfolg von EVAR

The Prophylaxis of Type 2 Endoleaks is Relevant for Long Term Success of EVAR

Matthias Tenholt

¹Abteilung Gefäß- und Endovascular Chirurgie, Theresienkrankenhaus und Sankt Hedwig-Klinik Abteilung für Gefäßchirurgie, Mannheim, Deutschland (Ringgold ID: RIN444066)

› Author Affiliations

Abstract

Zusammenfassung

Einer von 8 Patienten benötigt nach endovaskulärer Ausschaltung eines infrarenalen Bauchaortenaneurysmas (EVAR) eine Reintervention während der ersten 5 Jahre. Zwei Drittel der Reeingriffe zielen darauf ab, Endoleckagen zu behandeln. Die Prävalenz von Komplikationen verdoppelt sich im Fall von Endoleckagen. Stentprothesen der 4. Generation führen nicht zu einer Abnahme Typ-2-assoziierter Reinterventionen, aber zu einer besseren Typ-I- und -III-Endoleckage-Prävention. Die Vorbehandlung potenzieller Typ-II-induzierender Arterien mit Embolisation und die Thrombusinduktion im Aneurysmasack werden diskutiert mit Hinblick auf eine primäre Prophylaxe späterer Typ-II-Endoleckagen.

Abstract

One out of 8 patients needs a reintervention after EVAR during the first 5 years. Two thirds of secondary interventions aim at treating endoleaks. The prevalence of complications doubles in the presence of endoleaks. Fourth generation stent grafts do not lead to a decrease in Type 2-associated reinterventions, but to better prevention of Type 1 and 3 endoleaks. Pretreatment of potential type 2 feeding arteries with embolising agents and treatment of the occurrence of type 2 endoleaks.

Schlüsselwörter

abdominales Aortenaneurysma - EVAR - Typ 2 Endoleckage - prophylaktische Behandlung

Keywords

abdominal aortic aneurysm - EVAR - type 2 endoleak - prophylactic treatment

Full Text

References

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