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Diagnosis and Management of Aortic Disease

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14 Introduction Figure 11. Classification of Endoleak Types Endoleaks are classified by 5 types: • Type Ia, proximal attachment site endoleak • Type Ib, distal attachment site endoleak • Type II, backfilling of the aneurysm sac through branch vessels of the aorta • Type III, graft defect or component misalignment • Type IV, leakage through the graft wall attributable to endograft porosity • Type V, caused by "endotension," possibly resulting from aortic pressure transmitted through the graft/thrombus to the aneurysm sac. Adapted from Rokosh, et al. J Vasc Surg. 2021;74:1438-1439. Copyright 2021, with permission from Elsevier, Inc., and the Society for Vascular Surgery.

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