Ces radiol. 2008, 62(4):342-346

Endotension after endovascular treatment of abdominal aortic aneurysm, what to do?Original article

Marie Černá1, Martin Köcher1, Petr Utíkal2, Jiřina Koutná3, Petr Bachleda2, Petr Dráč2, Jiří Kozák1, Zdeněk Sekanina2, Zdeněk Kojecký2, Jiří Herman2, Rohit Philip1
1 Radiologická klinika FN, Olomouc
2 II. chirurgická klinika FN, Olomouc
3 Klinika anestezie a resuscitace FN, Olomouc

Aim: To evaluate treatment option of endotension after stentgraft implantation for abdominal aortic aneurysm (AAA) by percutaneous translumbal puncture of aortic aneurysm sac with aspiration of its contents.

Method: A total of 214 patients with AAA underwent endovascular treatment from April 1996 to March 2008 in our department. From these patients, 145 were followed-up one year or more after treatment, 25 patients were followed-up less than one year and 45 patients died or were lost from follow-up. In 14 patients aneurysm sac increased in size and in 3 patients out of them (men, age - 58, 70 and 70 years) endotension (aneurysm sac enlargement without evidence of endoleak) was diagnosed.

Results: In patients with diagnosed endotension, sac enlargement was found 2, 5 and 7 years after implantation of bifurcated stentgraft. Translumbal puncture of aneurysm sac and aspiration of its content was performed in all patients. It was transudate and its culture was negative. Sac stopped to enlarge and sac size reduced after aspiration in all patients.

Conclusion: Percutaneous translumbal puncture of aneurysm sac with aspiration of sac content could be easy and effective method of treatment in endotension. But a larger group of patients and long-term follow-up are needed.

Keywords: abdominal aortic aneurysm, endovascular treatment, endoleak, endotension

Accepted: October 15, 2008; Published: December 1, 2008  Show citation

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Černá M, Köcher M, Utíkal P, Koutná J, Bachleda P, Dráč P, et al.. Endotension after endovascular treatment of abdominal aortic aneurysm, what to do? Ces radiol. 2008;62(4):342-346.
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