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like to thank the organizers for the invitation to present the big topic for eight minutes but here we go and a leak in eight minutes readings from Cleveland Ohio and Case Western Reserve University some interesting and to leak facts so we know that Enda leaks can lead to aneurysm expansion however it has not been shown that endo leaks actually lead to rupture now an interesting paradox here is that most patients who rupture have had an endo leak if you look at the data from the over trial the VA randomized trial comparing open versus endovascular repair they had follow-up up to nine years and Id like to point out that all of these Evos were implanted per the ifu by the individual manufacturer they noticed a 30% risk of Enda leak most of these were typed to end a leak the next most common was type one end a leak and then a couple of uh type threes and some undefined now they did find that and oblique was associated with associated with aneurysm expansion but they could not find an a
