Contrast-Enhanced Ultrasound vs. CT Angiography in Fenestrated EVAR Surveillance: A Single-Center Comparison

Purpose To evaluate contrast-enhanced ultrasound (CEUS) as an effective alternative to computed tomographic angiography (CTA) during follow-up after fenestrated endovascular aneurysm repair (EVAR) of juxtarenal aortic aneurysms. Methods Between January 2008 and April 2011, 62 patients (all men; mean...

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Bibliographic Details
Published in:Journal of endovascular therapy 2012-10, Vol.19 (5), p.648-655
Main Authors: Perini, Paolo, Sediri, Ibrahim, Midulla, Marco, Delsart, Pascal, Gautier, Corinne, Haulon, Stéphan
Format: Article
Language:English
Subjects:
Abdomen
Aged
Aneurysms
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - surgery
Aortography - methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Comparative analysis
Contrast Media
Endoleak - diagnostic imaging
Endoleak - etiology
Endovascular Procedures - adverse effects
Endovascular Procedures - instrumentation
France
Graft Occlusion, Vascular - diagnostic imaging
Graft Occlusion, Vascular - etiology
Humans
Male
Medical imaging
Phospholipids
Postoperative period
Predictive Value of Tests
Prosthesis Design
Retrospective Studies
Stents
Sulfur Hexafluoride
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonic imaging
Ultrasonography, Doppler, Color
Vascular Patency
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Summary:Purpose To evaluate contrast-enhanced ultrasound (CEUS) as an effective alternative to computed tomographic angiography (CTA) during follow-up after fenestrated endovascular aneurysm repair (EVAR) of juxtarenal aortic aneurysms. Methods Between January 2008 and April 2011, 62 patients (all men; mean age 72 years) underwent fenestrated EVAR follow-up with both CTA and CEUS. In a retrospective analysis, the first CTA and CEUS postoperative examinations after EVAR were compared for endoleak detection, aneurysm sac diameter, and target vessel patency. The examinations were performed within 30 days of the procedure and the interval between the 2 scans was
ISSN:1526-6028
1545-1550
DOI:10.1583/JEVT-12-3909R.1