Pfister, K. and Kasprzak, P. M. and Apfelbeck, H. and Kopp, R. and Janotta, M. (2014) The Significance of Contrast-Enhanced Ultrasound in Vascular Surgery. ZENTRALBLATT FUR CHIRURGIE, 139 (5). pp. 518-524. ISSN 0044-409X, 1438-9592
Full text not available from this repository. (Request a copy)Abstract
Background: Vascular contrast-enhanced ultrasound (CEUS) is a special ultrasound application without the harmful side effects of nephrotoxicity and radiation exposure. CEUS can be used for advanced diagnosis of carotid stenosis and follow-up checks of endovascular repair of abdominal aortic aneurysms (EVAR). Low-flow phenomenon in peripheral vascular disease can easily be detected by enhanced colour-coded duplex sonography (CCDS). Methods: The technical requirements of CEUS are explained here for the aorta, carotid, and peripheral arteries. The benefits and risks compared to computed tomography (CT), magnetic resonance (MR) and angiography are evaluated. Based on a selective review of the literature and the authors' personal experiences, CEUS is recommended for routine surveillance after EVAR. Results: CEUS is a safe method using SonoVue(R) (Bracco) as the only approved agent for vascular examination. Special equipment and training is necessary. In prospective studies and meta-analyses the detection and characterisation of endo-leaks is comparable to that of CT imaging. Neo-vascularisation as a sign of carotid plaques at risk can be seen without the need for invasive treatment. Imaging of crural vessels with enhanced CCDS is a promising but rarely needed option in diabetic and renally insufficient patients. Conclusion: CEUS in vascular medicine should be performed prior to other methods to avoid nephrotoxic contrast agents for the patients, especially in follow-up checks after EVAR. The time and effort required are still limiting its practical breakthrough.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ENDOVASCULAR ANEURYSM REPAIR; ABDOMINAL AORTIC-ANEURYSM; CT ANGIOGRAPHY; FOLLOW-UP; COMPUTED-TOMOGRAPHY; II ENDOLEAK; SURVEILLANCE; EVAR; EMBOLIZATION; METAANALYSIS; contrast-enhanced ultrasound; follow-up-check; endovascular management of aorta; aortic aneurysms; endovascular ultrasound; neovascularisation of carotid plaque |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 12 Aug 2019 13:26 |
| Last Modified: | 12 Aug 2019 13:26 |
| URI: | https://pred.uni-regensburg.de/id/eprint/9437 |
Actions (login required)
 |
View Item |
