Professor Brian Hopkinson will support the motion Endotension is hogwash, with David Kessel, during the 26th Charing Cross International Symposium.
According to Hopkinson endotension is "a slightly nebulous concept based on some false assumptions and is a very, very small part of the management of endovascular problems". Hopkinson highlighted, "It is something that can not be measured very easily. It is designed as a lack of endoleak - expansion without any definable endoleak and therefore is really of no significance."
"However, he did say that sac pressure is quite different. Endotension is designed as an expansion of sac volume with no detectable endoleak - totally different. Sac pressure is potentially very interesting. There are lots of snags and hazards and problems about it, but it is a much more important and significant advance rather than this rather ethereal concept that you can have an expansion without an endoleak. It could occur if there was fermentation going on inside and bugs were in there producing gas. Or it could occur if there was a dialysing process, such as we get across grafts that are leaking fluid but not blood. It is difficult to see that those are in anyway dangerous compared with true sac pressure. Which must be one of the factors that can lead to expansion and rupture and death."
To hear the other side of the argument, don't miss the debate at the 26th Charing Cross International Symposium at 17.15 on Monday 5 April.
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