{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T21:32:11Z","timestamp":1792445531676,"version":"4.5.0"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2013,8,12]],"date-time":"2013-08-12T00:00:00Z","timestamp":1376265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,8,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim was to assess the risk of rupture, and determine the benefits of intervention for the treatment of type II endoleak after endovascular abdominal aortic aneurysm repair (EVAR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This systematic review was done according to PRISMA guidelines. Outcome data included incidence, spontaneous resolution, sac expansion, interventions, clinical success, and complications including conversion to open repair, and rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-two non-randomized retrospective studies were included, totalling 21 744 patients who underwent EVAR. There were 1515 type II endoleaks and 393 interventions. Type II endoleak was seen in 10\u00b72 per cent of patients after EVAR; 35\u00b74 per cent resolved spontaneously. Fourteen patients (0\u00b79 per cent) with isolated type II endoleak had ruptured abdominal aortic aneurysm; six of these did not have known aneurysm sac expansion. Of 393 interventions for type II endoleak, 28\u00b75 per cent were unsuccessful. Translumbar embolization had a higher clinical success rate than transarterial embolization (81 versus 62\u00b75 per cent respectively; P = 0\u00b7024) and fewer recurrent endoleaks were reported (19 versus 35\u00b78 per cent; P = 0\u00b7036). Transarterial embolization also had a higher rate of complications (9\u00b72 per cent versus none; P = 0\u00b7043).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Aortic aneurysm rupture after EVAR secondary to an isolated type II endoleak is rare (less than 1 per cent), but over a third occur in the absence of sac expansion. Translumbar embolization had a higher success rate with a lower risk of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bjs.9181","type":"journal-article","created":{"date-parts":[[2013,10,15]],"date-time":"2013-10-15T09:20:05Z","timestamp":1381828805000},"page":"1262-1270","source":"Crossref","is-referenced-by-count":279,"title":["Type II endoleak after endovascular aneurysm repair"],"prefix":"10.1093","volume":"100","author":[{"given":"D A","family":"Sidloff","sequence":"first","affiliation":[{"name":"Vascular Surgery Group, Department of Cardiovascular Sciences, University of Leicester, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P W","family":"Stather","sequence":"additional","affiliation":[{"name":"Vascular Surgery Group, Department of Cardiovascular Sciences, University of Leicester, Leicester, 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