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An endoleak is the leaking of blood outside a stent graft and within an aneurysm sac Type 2 endoleaks are the most common endoleak type following endovascular aneurysm repair It's a common complication of endovascular aneurysm repair (evar)

There are five types of an endoleak Treatment of the nidus, or endoleak sac, is critical for an effective and durable result. Type 2 is the most common

Types 3 and 4 are less common due to new graft technology

Endoleaks may require endovascular treatment methods to prevent aneurysm rupture. However, some studies have demonstrated evar to result in higher reintervention rates than with open repair, largely due to endoleaks Type ii endoleaks, can potentially enlarge and pressurize the aneurysm sac with a risk of rupture. A type ii endoleak refers to an endoleak due to flow through open collateral arteries after an endovascular abdominal aortic repair (evar)

Type ii endoleaks after endovascular aneurysm repair are the most common type of endoleak and generate the majority of secondary interventions Their natural history is mostly benign, but they can occasionally lead to sac expansion and eventual rupture Adverse anatomic features, in addition to the tortuosity and caliber of the access vessels, include partial or complete coverage of the iia by an endograft. Type ii endoleaks are the most common endovascular complications of endovascular abdominal aortic aneurysm repair (evar)

However, there has been a divided opinion regarding their significance in evar

Some advocate a conservative approach unless. It is important to stress that persistent type ii endoleaks associated with aneurysm enlargement typically behave like arteriovenous malformations, with multiple ingress and egress vessels