Endoleaks After Endovascular Aortic Stent-Grafting: Impact, Diagnosis, and Management

Endoleaks and endotension remain the primary limitation of endovascular aortic repair with stent-grafts. Consequently, all endovascular surgeons performing thoracic or abdominal endovascular aortic repairs require a comprehensive knowledge and understanding of how to survey and manage endoleaks. The derivation of the current endoleak classification scheme, the clinical impact of endoleaks, the diagnostic tools relevant to endoleak detection, an endoleak surveillance protocol, and the strategies in use for their management are outlined in this review.

Keywords: endoleaks, endotension, thoracic endovascular aortic repair, endovascular aortic repair, stent-grafting, aortic aneurysm, aortic dissection