Classification of endoleaks

Changed by Jeffrey Cheng, 10 Oct 2018

Updates to Article Attributes

Body was changed:

Endoleaks occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement. See the full article on endoleaks here.

Classification

There are five types:

  • type I: leak at graft ends (inadequate seal) - most common after repair of thoracic aortic aneurysms 4
    • Ia: proximal
    • Ib: distal
    • Ic: iliac occluder
  • type II: sac filling via branch vessel (e.g. lumbar or inferior mesenteric artery)
    • most common after repair of abdominal aortic aneurysms 4 (80%)
    • sometimes referred to as a "retroleak"
    • enthusiastic examiners sometimes ask for the eponymous name of the large collateral artery between the IMA and SMA = Riolan's arch
    • most spontaneously resolve and require no treatment
    • IIa: single vessel
    • IIb: two vessels or more
  • type III: leak through a defect in graft fabric (mechanical failure of graft)
    • IIIa: junctional separation of the modular components
    • IIIb: fractures or holes involving the endograft
  • type IV: a generally porous graft (intentional design of graft)
  • type V: endotension
  • -<p><strong>Endoleaks</strong> occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement. See the full article on endoleaks <a title="Endoleak" href="/articles/endoleak">here</a>.</p><h4>Classification</h4><p>There are five types:</p><ul>
  • +<p><strong>Endoleaks</strong> occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement. See the full article on endoleaks <a href="/articles/endoleak">here</a>.</p><h4>Classification</h4><p>There are five types:</p><ul>
Images Changes:

Image 1 Diagram (Endoleaks schematic classification) ( update )

Caption was changed:
Figure 1: endoleak classification

Image 2 Diagram ( create )

Image 6 CT (Arterial Phase) ( update )

Position was set to .

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.