복부대동맥류의 혈관 내 치료 중 발생한 Endoleak 경험

• Published in: Annals of surgical treatment and research Vol. 78; no. 4; pp. 231 - 237
• Main Authors: 박근명(Keun Myoung Park), 김장용(Jang Young Kim), 정지은(Ji Eun Jung), 전용선(Yong Sun Jeon), 조순구(Soon Gu Cho), 최윤미(Yun-Mee Choe), 최선근(Sun Keun Choi), 허윤석(Yoon Seok Heo), 이건영(Keon Young Lee), 김세중(Sei-Joong Kim), 조영업(Young Up Cho), 안승익(Seung Ik Ahn), 신석환(Seok Hwan Shin), 김경래(Kyung Rae Kim), 홍기천(Kee Chun Hong)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.04.2010
• Subjects: 일반외과학; 복부대동맥류; Endoleak; Abdominal aortic aneurysm; 대동맥류 혈관 내 치료; Stent-graft; 혈관누출; 스텐트-이식편; Endovascular aneurysm repair (EVAR)
• ISSN: 2288-6575; 2288-6796

Purpose: Endoleak is a common complication following endovascular aortic aneurysm repairs (EVAR). The aim of this study was to discover the frequency and characteristics after EVAR with on-label use. Methods: A retrospective review was performed on 25 patients who underwent EVAR in Inha University Hospital between December 2005 and February 2009. The data included in this study accounted for patient characteristics, anatomic features, operative technical details, and types of devices used. The results of EVAR were analyzed for clinical success, technical success and endoleak. Results: Endoleaks were observed during 11 (47.8%) procedures. Type I endoleaks were observed in 2 (18.2%) cases. A total of 6 type II intraoperative endoleaks (54.5%) were observed. 3 type III endoleaks (27.3%) occurred. But all endoleaks were resolved without additional intervention CT scan after 6 months. Conclusion: Although the endovascular management of AAAs is less invasive than open surgery, many complications including endoleak were still the most common adverse event during the first postoperative month. However, observation may be a good treatment for minor endoleak after EVAR. KCI Citation Count: 3