Systemic Inflammatory Disease and Its Association With Type II Endoleak and Late Interventions After Endovascular Aneurysm Repair

The authors studied outcomes after endovascular AAA aneurysm repair (EVAR) to assess whether ongoing aortic remodeling related to systemic inflammatory disease (SID) contributes to an increased incidence of endoleak.  65% of 79 treated patients had systemic inflammatory disease.  Major complication rates were increased 7-fold in the group with SID.  This group also experienced a 2.5-fold greater incidence of endoleaks and a 2-fold greater rate of late sac expansion.  More interventions were required in the SID group.