Special Conditions
Endoleak Treatment & Surveillance
Monitoring and treating leaks after stent-graft repair.
What it is
An endoleak is persistent blood flow into the aneurysm sac after an endovascular repair. Some types are harmless and simply watched, while others can enlarge the aneurysm and need treatment, usually with an additional stent-graft, embolization, or occasionally open surgery — which is why regular surveillance imaging after any stent-graft repair is essential.
When it’s recommended
- Endoleak detected on surveillance imaging
- Aneurysm sac enlargement after stent-graft repair
- Ongoing follow-up after any EVAR/TEVAR/FB-EVAR
How it’s performed
Every plan is individualized and reviewed by our multidisciplinary aortic team.
Surveillance imaging identifies and classifies the endoleak
Harmless types are monitored
Significant types are treated by embolization or added stent-graft
Continued imaging confirms resolution
Recovery & follow-up
Treatment, when needed, is usually minimally invasive; lifelong surveillance imaging remains important.
Why the Baylor Medicine Center for Aortic Surgery
Complex aortic care is safest in experienced hands. Dr. Oderich and the Center bring more than 7,000 open and endovascular aortic repairs of experience, advanced imaging, and a multidisciplinary team to every case.
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