Polling Station

Poll 01/08/2019 – 31/08/2019

The Type II Endoleak

Patient’s characteristics

 

Gender: Male

Age: 68 years old

Comorbidity: Arterial hypertension, active smoker

Underwent EVAR 2 years ago

Symptoms:  None

DUS/CT A: Aneurysm sac growth > 7mm compared to last CT scan with evidence of type II Endoleak (Inferior mesenteric artery)

Question #1

Do you consider type II endoleaks after EVAR a major complication?
  • Yes
  • No
Question #2

Would you perform a lumbar or mesenteric artery embolization prior to EVAR in order to reduce the risk for a type II endoleak?
  • Selectively
  • Routinely
  • Never
Question #3

Which is your main criterion for the treatment of an asymptomatic type II endoleak
  • Aneurysm sac growth more than 10 mm
  • Aneurysm sac growth more than 5 mm
  • Persistence more than 6 months
  • I would never treat an asymptomatic type II endoleak
Question #4

Which would be your primary treatment option for an asymptomatic type II endoleak?
  • Surgery
  • Endovascular
Question #5

Which would be your primary endovascular strategy for an asymptomatic type II endoleak?
  • Transarterial embolization
  • Transcaval embolization
  • Embolization with puncture of the aneurysm sac
Question #6

Would you treat a postoperative type II endoleak in case of a ruptured aneurysm?
  • Yes
  • No