{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T21:19:07Z","timestamp":1788211147426,"version":"build-2803163510"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["annalsofvascularsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of Vascular Surgery"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.avsg.2026.06.021","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T16:22:31Z","timestamp":1782404551000},"page":"99-115","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Type II Endoleak after EVAR: The Sac Behavior\u2013Anatomy-Driven Management (SADM) Framework"],"prefix":"10.1016","volume":"132","author":[{"given":"Maciej","family":"B\u0142aszyk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuzanna","family":"Fryska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4545-1521","authenticated-orcid":false,"given":"Jakub","family":"Waliszewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Juszkat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zbigniew","family":"Krasi\u0144ski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.avsg.2026.06.021_bib1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ejvs.2023.11.002","article-title":"Editor\u2019s choice -- European Society for vascular surgery (ESVS) 2024 Clinical Practice Guidelines on the management of abdominal aorto-iliac artery aneurysms","volume":"67","author":"Wanhainen","year":"2024","journal-title":"Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib2","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.12081","article-title":"Long-term outcomes associated with open vs endovascular abdominal Aortic aneurysm repair in a medicare-matched database","volume":"5","author":"Yei","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.avsg.2026.06.021_bib3","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.avsg.2021.01.083","article-title":"A systematic review and pooled meta-analysis on the incidence and temporal occurrence of type II endoleak following an abdominal aortic Aneurysm repair","volume":"75","author":"Charisis","year":"2021","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib4","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/j.jvs.2019.04.486","article-title":"Incidence, natural course, and outcome of type II endoleaks in infrarenal endovascular aneurysm repair based on the ENGAGE registry data","volume":"71","author":"Dijkstra","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib5","first-page":"114","article-title":"Recent update of endovascular type 2 endoleak management","volume":"5","author":"Katada","year":"2020","journal-title":"Interv Radiol Higashimatsuyama-shi Jpn"},{"key":"10.1016\/j.avsg.2026.06.021_bib6","doi-asserted-by":"crossref","first-page":"141","DOI":"10.5603\/aa.98504","article-title":"Prevention and management of type II endoleaks after endovascular aneurysm repair","volume":"29","author":"Pietrzak","year":"2023","journal-title":"Acta Angiol"},{"key":"10.1016\/j.avsg.2026.06.021_bib7","article-title":"Development and validation of a nomogram to predict the risk of type II endoleak after endovascular aneurysm repair","volume":"12","author":"Liu","year":"2025","journal-title":"Front Cardiovasc Med"},{"key":"10.1016\/j.avsg.2026.06.021_bib8","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1161\/CIRCULATIONAHA.121.056581","article-title":"Nationwide analysis of persistent type II endoleak and late outcomes of endovascular abdominal Aortic aneurysm repair in Japan: a propensity-matched analysis","volume":"145","author":"Seike","year":"2022","journal-title":"Circulation"},{"key":"10.1016\/j.avsg.2026.06.021_bib9","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.avsg.2017.04.029","article-title":"Type II endoleak after endovascular aneurysm repair: natural history and treatment outcomes","volume":"44","author":"Kumar","year":"2017","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib10","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1007\/s00270-015-1191-3","article-title":"Systolic sac pressure index for the prediction of persistent type II endoleak for 12 months after endovascular abdominal Aortic Aneurysm repair","volume":"39","author":"Ikoma","year":"2016","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.1016\/j.avsg.2026.06.021_bib11","article-title":"Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: a meta-analysis","volume":"12","author":"Guo","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.avsg.2026.06.021_bib12","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.avsg.2016.08.021","article-title":"Systematic review and meta-analysis of preoperative risk factors of type II endoleaks after endovascular aneurysm repair","volume":"41","author":"Lalys","year":"2017","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib13","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.asjsur.2022.03.022","article-title":"Preoperative predictive factors for type II endoleak: trying to define high-risk patients","volume":"46","author":"Su\u00e1rez Gonz\u00e1lez","year":"2023","journal-title":"Asian J Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib14","article-title":"Surveillance imaging of type II endoleak with contrast-enhanced ultrasound","volume":"9","author":"Jelenak","year":"2023","journal-title":"BJR Case Rep"},{"key":"10.1016\/j.avsg.2026.06.021_bib15","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s00270-023-03629-1","article-title":"CIRSE standards of practice on management of endoleaks following endovascular aneurysm repair","volume":"47","author":"Chun","year":"2024","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.1016\/j.avsg.2026.06.021_bib16","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1007\/s00270-020-02572-9","article-title":"Secondary endoleak management following TEVAR and EVAR","volume":"43","author":"Ameli-Renani","year":"2020","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.1016\/j.avsg.2026.06.021_bib18","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.avsg.2019.05.020","article-title":"Results of transarterial embolization for treating type 2 endoleaks: a single-center experience","volume":"66","author":"Arenas Azofra","year":"2020","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib19","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/s00270-014-0987-x","article-title":"Type 2 endoleaks Post-EVAR: current evidence for rupture risk, intervention and outcomes of treatment","volume":"38","author":"Chung","year":"2015","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.1016\/j.avsg.2026.06.021_bib20","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/j.jvir.2018.04.002","article-title":"Transabdominal direct sac puncture embolization of type II endoleaks after endovascular abdominal Aortic Aneurysm repair","volume":"29","author":"Zener","year":"2018","journal-title":"J Vasc Interv Radiol JVIR"},{"key":"10.1016\/j.avsg.2026.06.021_bib21","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s00270-015-1236-7","article-title":"Unenhanced cone beam computed tomography and fusion imaging in direct percutaneous sac injection for treatment of type II endoleak: technical note","volume":"39","author":"Carrafiello","year":"2016","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.1016\/j.avsg.2026.06.021_bib30","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.avsg.2022.06.099","article-title":"Evaluation of the effectiveness of endovascular treatment of type 2 endoleaks","volume":"93","author":"Di\u00e9 Loucou","year":"2023","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib31","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.avsg.2016.08.029","article-title":"Treatment of type II endoleak and Aneurysm expansion after EVAR","volume":"39","author":"Moulakakis","year":"2017","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib22","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s42155-018-0047-8","article-title":"Transcaval approach for embolization of type II Endoleak following endovascular aortic aneurysm repair","volume":"2","author":"Hyatt","year":"2019","journal-title":"CVIR Endovasc"},{"key":"10.1016\/j.avsg.2026.06.021_bib23","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.avsg.2023.01.013","article-title":"A novel technique and outcomes for Transcaval Endoleak embolization","volume":"93","author":"Van Sickler","year":"2023","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib24","doi-asserted-by":"crossref","first-page":"1960","DOI":"10.1016\/j.jvs.2020.01.077","article-title":"Midterm evaluation of perigraft arterial sac embolization in endovascular aneurysm repair","volume":"72","author":"Barleben","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib25","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s13063-023-07888-8","article-title":"Endovascular aortic repair with sac embolization for the prevention of type II endoleaks (the EVAR-SE study): study protocol for a randomized controlled multicentre study in Germany","volume":"25","author":"Knappich","year":"2024","journal-title":"Trials"},{"key":"10.1016\/j.avsg.2026.06.021_bib26","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/j.jvs.2023.11.031","article-title":"Reducing aneurysm sac growth and secondary interventions following endovascular abdominal aortic aneurysm repair by preemptive coil embolization of the inferior mesenteric artery and lumbar arteries","volume":"79","author":"Chew","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib27","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.ejvs.2025.04.028","article-title":"Editor's Choice - Multicentre randomised controlled trial to evaluate the efficacy of pre-emptive inferior mesenteric artery embolisation during endovascular aortic aneurysm repair on aneurysm sac change","volume":"70","author":"Ichihashi","year":"2025","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib32","article-title":"Efficacy and safety of prophylactic intraoperative sac embolization in EVAR for abdominal aortic aneurysm: a meta-analysis","volume":"9","author":"Chen","year":"2022","journal-title":"Front Surg"},{"key":"10.1016\/j.avsg.2026.06.021_bib33","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/s00270-025-04272-8","article-title":"Embolisation of type 2 endoleaks associated with sac expansion-outcomes from a single-centre cohort","volume":"49","author":"Chun","year":"2026","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.1016\/j.avsg.2026.06.021_bib28","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1177\/17085381211053409","article-title":"Outcome and technical evolution of type 2 endoleak embolization with ethylene-vinyl-alcohol copolymer","volume":"31","author":"Vance","year":"2023","journal-title":"Vascular"},{"key":"10.1016\/j.avsg.2026.06.021_bib29","doi-asserted-by":"crossref","first-page":"331","DOI":"10.4274\/dir.2022.22352","article-title":"Embolization therapy for type 2 endoleaks after endovascular aortic aneurysm repair: imaging-based predictive factors and clinical outcomes on long-term follow-up","volume":"29","author":"Vandenbulcke","year":"2023","journal-title":"Diagn Interv Radiol Ank Turk"},{"key":"10.1016\/j.avsg.2026.06.021_bib17","article-title":"A review of treatment for type II endoleak after endovascular abdominal Aortic Aneurysm repair","volume":"10","author":"Horinouchi","year":"2025","journal-title":"Interv Radiol Higashimatsuyama-shi Jpn"}],"container-title":["Annals of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509626004693?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509626004693?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T20:35:56Z","timestamp":1788208556000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0890509626004693"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":33,"alternative-id":["S0890509626004693"],"URL":"https:\/\/doi.org\/10.1016\/j.avsg.2026.06.021","relation":{},"ISSN":["0890-5096"],"issn-type":[{"value":"0890-5096","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Type II Endoleak after EVAR: The Sac Behavior\u2013Anatomy-Driven Management (SADM) Framework","name":"articletitle","label":"Article Title"},{"value":"Annals of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.avsg.2026.06.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}