Uncertainty persists around type II endoleaks

In the accompanying meta-analysis, the authors provide us with a methodical review of the literature describing the treatment of type II endoleaks after endovascular aneurysm repair (EVAR) and conclude that a translumbar approach may be preferred to the transarterial route.1 On reading this paper, I am struck by how little progress we have made in our understanding of the pathophysiologic mechanism, significance, and treatment of type II endoleaks. In fact, this analysis comes to similar conclusions as reviews published as long as 6  years ago,2 highlighting the static nature of our understanding.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Invited commentary Source Type: research