American Board of Surgery Qualifying Exam (ABS QE) Practice Test 2025 - Free Surgery Exam Practice Questions and Study Guide

In the case of a Type 4 endoleak, which is typically associated with the absorption of the polymer in the construction of the graft or sometimes due to fabric defects, the management primarily involves observation. Type 4 endoleaks are often self-limiting and may resolve without intervention. The management strategy may include ongoing follow-up with imaging studies to monitor the situation.

If the endoleak persists and leads to clinical concerns, replacement or revision of the stent graft may be required. Therefore, while immediate repair is not indicated, continued observation to evaluate the status of the endoleak and determine if stent graft replacement is needed is the recommended approach. This method allows for cautious monitoring and avoids the risks associated with more invasive procedures unless absolutely necessary.