Endotension after endovascular aneurysm repair: Definition, classification, and strategies for surveillance and intervention

in the ongoing evolution of a categorization system for endoleak, the autho rs propose the term endo tension to define persistent or recurrent pressuri zation of the aortic aneurysm sac after endovascular repair. Endotension is evidence that the aneurysm remains at risk of rupture and should, therefor e, be considered an indication for secondary intervention. Management strat egies and a grading system for endotension are offered.