Abordagem aos Endoleaks tipo II – Uma Revisão Sistemática dos últimos 5 anos de literatura
DOI:
https://doi.org/10.48750/acv.415Keywords:
Aneurisma da aorta, tratamento endovascular, endoleak tipo II, revisão sistemáticaAbstract
INTRODUÇÃO: Os endoleaks tipo II são a complicação e causa de reintervenção mais frequente do EVAR sendo, contudo, tema de debate entre a comunidade científica. Este trabalho tem como objetivo rever as diferentes abordagens aos endoleaks tipo II após reparação endovascular de aneurismas da aorta infrarrenal.
MATERIAIS E MÉTODOS: Para a realização deste trabalho os autores selecionaram e analisaram de forma sistemática artigos publicados na plataforma PubMed em língua inglesa entre 2015 e 2020, segundo a metodologia PRISMA.
RESULTADOS: Até ao momento não existe evidência clara quanto ao limiar para tratamento e qual a melhor abordagem aos endoleaks tipo II. Entre as técnicas minimamente invasivas reportadas – embolização transarterial e percutânea direta do saco – não parece haver diferença significativa tanto na eficácia como nas complicações. Contudo ambas demonstram taxas de falência e necessidade de reintervenção elevadas. Quanto à embolização profilática – do saco ou de eferentes patentes – parece haver diminuição significativa do risco de desenvolver endoleak tipo II. Porém o impacto na sobrevida destas intervenções permanece por esclarecer.
CONCLUSÕES: Serão necessários estudos de maior qualidade com critérios de seleção uniformes para que se possam tirar conclusões de maior validade.
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References
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