Contrast-enhanced Ultrasound in Detecting Endoleaks with Failed Computed Tomography Angiography Diagnosis after Endovascular Abdominal Aortic Aneurysm Repair

Verfasser / Beitragende:
Yue-Xin Chen; Chang-Wei Liu; Rui-Na Zhao; Xiao Yang; Bo Zhang; Yu-Xin Jiang; Qiong Wu
Ort, Verlag, Jahr:
Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730, China%Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730, China, 2015
Zeitschriftentitel:
Chinese medical journal, Jg. 128; H. 18; S. 2491 - 2497
Format:
Journal Article
Online Zugang:
ID: FETCH-wanfang_journals_zhcmj2015180143

Background:Endovascular aneurysm repair (EVAR) is one of the first-line therapies of abdominal aortic aneurysms.Postoperative endoleak is the most common complication of EVAR.Computed tomography angiography (CTA),which is routine for follow-up,has side effects (e.g.,radiation) and also has a certain percentage of missed diagnosis.Preliminary studies on contrast-enhanced ultrasound (CEUS) have shown that the sensitivity of CEUS for detecting endoleak is no lower than that of CTA.To investigate the advantages of CEUS,we conducted CEUS examinations of post-EVAR cases in which CTA failed to detect endoleak or could not verify the type of endoleak.Methods:Post-EVAR patients,who were clinically considered to have endoleak and met the inclusion criteria were enrolled between March 2013 and November 2014.All of the patients underwent color Doppler flow imaging (CDFI) and a CEUS examination.Size,location,microbubble dispersion,and hemodynamic characteristics of leaks were recorded.Comparison between the diagnosis of C

Chinese medical journal

Endovascular Aneurysm Repair; Endoleak; Color Doppler Flow Imaging; Abdominal Aortic Aneurysm; Contrast-enhanced Ultrasound