Diagnostic algorithms for endoleaks
This is a current overview of the evidence and techniques regarding the time and type of endoleak treatment as well as information about postoperative anticoagulation. Moreover, we provide our institution’s algorithm about the surveillance protocol of endoleaks after EVAR procedures.
Dear Fabio Verzini,
Thank you very much for this tremendous presentation. It is a valuable navigation-tool for everybody who treats endoleaks.
One question. Which role the MR diagnosis will become for the detection and interpretation of endoleaks after implantation of stainless grafts? Do you think this technique will overtake the CT scan?
Thanks for your comments. I agree with you, MR scannings of stainless steel endografts suffer from artifacts that usually render the exams unreliable. I think MR will not gain widespread use in the next future. Pts. with stainless steel endografts will decrease in the future anyway, since nowdays the vast majority of the grafts are in nitinol or cobalt-chrome.
Thank you for your answer. I hope that MR scans will get more and more important in the future, parallel to the regular use of non-steal grafts. Personally, I am a bit concerned about the radiogenic consequences for a patient younger than 70 y/o, who passed an EVAR procedure. Not because of the EVAR, more because of the follow-up by regular CT scans. I think the MR based follow-up will reduce this risk dramatically.
Again, thank you for your answer. I hope we will join more vascular knowledge from Perugia at Vascupedia.
September 19 – Aortic Disease Awareness Day – Please comment