Type III and Type IV Endoleak: Toward a Complete Definition of Blood Flow in the Sac after Endoluminal AAA Repair

In this document the authors continue to refine their seminal categorization of endoleak, a major complication of endovascular aneurysm repair. In addition to type I (related to the graft device itself) and type II (retrograde flow from collateral branches) endoleak, they propose two new categories: endoleak due to fabric tears, graft disconnection, or disintegration would be classified type III, and flow through the graft presumed to be associated with graft wall “porosity” would be categorized as type IV endoleak.