Ultrasound for Surveillance after Endovascular Repair of Abdominal Aortic Aneurysm - Simple and Safe?

Pfister, K. and Krammer, S. and Janotta, M. and Jung, E. M. and Kasprzak, P. (2010) Ultrasound for Surveillance after Endovascular Repair of Abdominal Aortic Aneurysm - Simple and Safe? ZENTRALBLATT FUR CHIRURGIE, 135 (5). pp. 409-415. ISSN 0044-409X

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Abstract

In the past, multislice computed tomography angiography (CTA) with arterial and venous phase was recommended as the gold standard in follow-up after endovascular abdominal aneurysm repair (EVAR). Iodine-containing contrast agents and frequent radiation exposure are limitations for use in elderly patients with chronic renal insufficiency. Colour-coded Doppler sonography (CCDS) and, especially, contrast-enhanced ultrasound (CEUS) are non-invasive methods that are time and cost effective. Both provide a reliable alternative to CTA in surveillance after EVAR. CEUS seems to be superior in characterisation of the type of endoleaks and can be established in order to reduce iodine-containing contrast agent and radiation exposure in follow-up. In contrast to CTA scans, CEUS can be offered to patients with chronic renal insufficiency and allows a dynamic examination and perfusion analysis (e.g., in fenestrated and branched stentgrafts). Routine combination with X-ray allows control of stentgraft material and location of the branches.

Item Type: Article
Uncontrolled Keywords: CONTRAST-ENHANCED-ULTRASOUND; DUPLEX ULTRASOUND; COMPUTED-TOMOGRAPHY; FOLLOW-UP; ENDOLEAK; RECOMMENDATIONS; ANGIOGRAPHY; GUIDELINES; OUTCOMES; SURGERY; aortic aneuyrsm; contrast-enhanced ultrasound; follow-up; endovascular treatment; endoleak
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Gefäßchirurgie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Petra Gürster
Date Deposited: 17 Apr 2020 10:35
Last Modified: 17 Apr 2020 10:35
URI: https://pred.uni-regensburg.de/id/eprint/24158

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