Abdominal aortic aneurysms: pre- and post-procedural imaging

Abdominal aortic aneurysm (AAA) is a relatively common, potentially life-threatening disorder. Rupture of AAA is potentially catastrophic with high mortality. Intervention for AAA is indicated when the aneurysm reaches 5.0–5.5 cm or more, when symptomatic, or when increasing in size > 10 mm/year....

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Bibliographic Details
Published in:Abdominal imaging 2018-05, Vol.43 (5), p.1044-1066
Main Authors: Hallett, Richard L., Ullery, Brant W., Fleischmann, Dominik
Format: Article
Language:English
Subjects:
Aneurysms
Angiography
Aortic aneurysms
Cardiovascular system
Complications
Computed tomography
Gastroenterology
Hepatology
Imaging
Intervention
Magnetic resonance
Medical imaging
Medicine
Medicine & Public Health
Patients
Radiology
Surgery
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Summary:Abdominal aortic aneurysm (AAA) is a relatively common, potentially life-threatening disorder. Rupture of AAA is potentially catastrophic with high mortality. Intervention for AAA is indicated when the aneurysm reaches 5.0–5.5 cm or more, when symptomatic, or when increasing in size > 10 mm/year. AAA can be accurately assessed by cross-sectional imaging including computed tomography angiography and magnetic resonance angiography. Current options for intervention in AAA patients include open surgery and endovascular aneurysm repair (EVAR), with EVAR becoming more prevalent over time. Cross-sectional imaging plays a crucial role in AAA surveillance, pre-procedural assessment, and post-EVAR management. This paper will discuss the current role of imaging in the assessment of AAA patients prior to intervention, in evaluation of procedural complications, and in long-term follow-up of EVAR patients.
ISSN:2366-004X
2366-0058
DOI:10.1007/s00261-018-1520-5