Document Detail

Endotension following endovascular aneurysm repair.
MedLine Citation:
PMID:  18940907     Owner:  NLM     Status:  MEDLINE    
Endovascular aneurysm repair (EVAR) is a new and minimally invasive alternative to open repair for patients with abdominal aortic aneurysm (AAA). Soon after its introduction in 1990, it was recognized that EVAR had potential and distinct advantages in the elective and emergency settings. However, long-term follow-up has shown enlargement of the AAA in a substantial percentage of patients who underwent EVAR with the original-permeability Excluder. Of interest is that sac expansion frequently occurs in the absence of endoleak, often referred to as endotension. The pathophysiology of endoleak is beginning to be elucidated and its management is ready to be established, while controversy still exists about the etiology and clinical consequences of endotension. Fortunately, the incidence of endotension is decreasing and it appears that AAA expansion after EVAR with the original Excluder can be arrested by endovascular relining with a low-permeability Excluder endoprosthesis. The aim of this brief review is to provide historical perspective and a good understanding of the etiology, diagnosis, and management of endotension.
Naoki Toya; Tetsuji Fujita; Yuji Kanaoka; Takao Ohki
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Publication Detail:
Type:  Historical Article; Journal Article; Review    
Journal Detail:
Title:  Vascular medicine (London, England)     Volume:  13     ISSN:  1358-863X     ISO Abbreviation:  Vasc Med     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-22     Completed Date:  2009-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610930     Medline TA:  Vasc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  305-11     Citation Subset:  IM    
Department of Surgery, Division of Vascular Surgery, Jikei University School of Medicine, Tokyo, Japan.
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MeSH Terms
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects*,  history,  instrumentation
History, 20th Century
History, 21st Century
Postoperative Complications / etiology*,  pathology,  physiopathology,  surgery
Prosthesis Design
Prosthesis Failure
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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