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The use of dynamic volumetric CT angiography (DV-CTA) for the characterization of endoleaks following fenestrated endovascular aortic aneurysm repair (f-EVAR)

Accurate endoleak classification is essential following fenestrated endovascular aneurysm repair (f-EVAR). Both endoleak type and exact source of endoleak have implications upon the urgency and complexity of future management strategies. Herein we report on a patient with a documented endoleak post-...

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Bibliographic Details
Published in:Journal of vascular surgery 2010, Vol.51 (1), p.203-206
Main Authors: Bent, Clare L., MBBCh, FRCR, Jaskolka, Jeff D., MD, FRCPC, Lindsay, Thomas F., MD, Tan, Kongteng, FRCS, FRCR, FRCPC
Format: Article
Language:English
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Summary:Accurate endoleak classification is essential following fenestrated endovascular aneurysm repair (f-EVAR). Both endoleak type and exact source of endoleak have implications upon the urgency and complexity of future management strategies. Herein we report on a patient with a documented endoleak post-f-EVAR, in which the source of blood flow into the aneurysm sac could not be determined using conventional computed tomographic angiography. Consequently, dynamic volumetric computed tomographic angiography (DV-CTA) was employed, which clearly illustrated the site of origin of the endoleak. DV-CTA enables accurate endoleak characterization following f-EVAR, with excellent conspicuity of the source of blood flow into the aneurysm sac.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2009.07.101