Abordagem aos Endoleaks tipo II – Uma Revisão Sistemática dos últimos 5 anos de literatura

Authors

DOI:

https://doi.org/10.48750/acv.415

Keywords:

Aneurisma da aorta, tratamento endovascular, endoleak tipo II, revisão sistemática

Abstract

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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Published

2022-09-11

How to Cite

1.
Pinelo AFB, Oliveira MJ, Silva IFS. Abordagem aos Endoleaks tipo II – Uma Revisão Sistemática dos últimos 5 anos de literatura. Angiol Cir Vasc [Internet]. 2022 Sep. 11 [cited 2022 Sep. 25];18(2):75-80. Available from: https://acvjournal.com/index.php/acv/article/view/415

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Section

Review Article