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Endotension : a cause of failure in endovascular repair of abdominal aortic aneurysms

Endotension : a cause of failure in endovascular ...

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dc.contributor.author Sznajder, Katarzyna pl
dc.contributor.author Skrzelewski, Stanisław pl
dc.contributor.author Falba, Andrzej pl
dc.date.accessioned 2018-10-24T15:54:04Z
dc.date.available 2018-10-24T15:54:04Z
dc.date.issued 2009 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/58638
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/pl/legalcode *
dc.title Endotension : a cause of failure in endovascular repair of abdominal aortic aneurysms pl
dc.title.alternative Wartość wtórnej rekonstrukcji obrazu angiografii wielorzędowej tomografii komputerowej w wymiarowaniu podnerkowych tętniaków aorty pl
dc.type JournalArticle pl
dc.description.physical 65-68 pl
dc.description.additional Bibliogr. s. 67-68 pl
dc.identifier.weblink http://archiwum.polradiol.com/abstract/index/idArt/878381 pl
dc.abstract.en The phenomenon of aortic aneurysm enlargement after endovascular repair without detectable endoleak is called "endotension". It is caused by persistent pressurization within the excluded aneurysm sac and may cause subsequent rupture of the aneurysm. We undertake a review of current knowledge about causes, significance and treatment of endotension as a failure in endovascular aortic aneurysm repair. The goal of endovascular abdominal aortic aneurysm repair is to prevent aneurysm ruptures by excluding the aneurysms from the aortic circulation. AAA (Abdominal Aortic Aneurysm) after EVAR (Endovascular Aneurysm Repair) can enlarge even in the absence of detectable endoleak because of persistent pressurization within the excluded aneurysm. There are many theories about the mechanism of pressure transmission into the excluded aneurismal sac. Some laboratory and clinical research shows that endotension can be connected with attachment side failure, graft fabrics or aneurysm sac geometry. Pressure transmission by the thrombus, poor outflow, osmotic effect or ultrafiltration are the other possible mechanisms causing this phenomenon. Maximal diameter measurement by CT is considered to be the best management method in patients after EVAR. However, lack of aneurysm sac shrinkage observed in some cases does not mean the presence of endotension. The role of pulsatility inside the excluded aneurysm sac remains unclear. Several possible concepts of endotension treatment have been discussed, including both open surgical convention and nonoperative approach. The absence of endoleak after endovascular repair not always means that there is no pressurization within the aneurysm. Success of endovascular repair can be evaluated indirectly by observation of changes in the diameter of the aneurysm sac after EVAR. Thus, it is essential to follow up patients after endovascular repair in order to detect any late complications including endotension. pl
dc.subject.en Abdominal Aortic Aneurysm pl
dc.subject.en Endovascular Aneurysm Repair pl
dc.subject.en endotension pl
dc.description.volume 74 pl
dc.description.number 1 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.date.accession 2018-10-24 pl
dc.subtype ReviewArticle pl
dc.identifier.articleid 878381 pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa