Cited 19 times since 2007 (1.1 per year) source: EuropePMC European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, Volume 34, Issue 4, 1 1 2007, Pages 432-41; discussion 442-3 Aneurysm sac pressure after EVAR: the role of endoleak. Hinnen JW, Koning OH, van Bockel JH, Hamming JF

Objective

The relation between endoleak and aneurysm sac pressure is not completely clear. This review evaluates the effect of endoleaks on aneurysm sac pressure and summarizes the present knowledge regarding aneurysm sac pressure after EVAR.

Methods

A systematic search of literature was carried out using MEDLINE, EMBASE and Web of Science. Studies were included if aneurysm sac pressure measurements as well as systemic pressure measurements were performed during or after EVAR. Mean pressure indices (MPI), ratio mean aneurysm sac pressure to mean systemic pressure), in the absence of endoleaks and in the presence of different type of endoleaks were compared.

Results

Stent-graft deployment does not seem to result in immediate reduction of aneurysm sac in the absence of an endoleak. Aneurysm sac pressure is elevated in the presence of an endoleak. However, the MPIs differ widely between studies both in the absence and presence of an endoleak.

Conclusion

MPI is not specific to the type of endoleak. This implies that the same type of endoleak does not necessarily pose the same MPI and by this the same hazard of aneurysm rupture, because the aneurysm sac pressure is directly related to the aneurysm wall stress.

Eur J Vasc Endovasc Surg. 2007 8;34(4):432-41; discussion 442-3