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DOI:10.2214/AJR.08.1593
AJR 2009; 192:W178-W186
© American Roentgen Ray Society


Pictorial Essay

Endoleaks After Endovascular Abdominal Aortic Aneurysm Repair: Management Strategies According to CT Findings

Mustafa R. Bashir1, Hector Ferral1, Chad Jacobs2, Walter McCarthy2 and Marshall Goldin2

1 Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, 1653 W Congress Pkwy., Chicago, IL 60612.
2 Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL.

OBJECTIVE. With increasing use of endovascular techniques for repair of abdominal aortic aneurysms, the prevalence of leakage into excluded aneurysm sacs (endoleaks) as a complication has risen. We will describe and illustrate the imaging findings for endoleaks involving abdominal aortic aneurysms. We will also discuss which types of endoleaks require urgent catheter-based evaluation.

CONCLUSION. Radiologists should be familiar with the classification scheme for endoleaks and understand which types of endoleaks require urgent catheter-based evaluation.

Keywords: abdominal aortic aneurysm • endoleak


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