Prospective Comparative Analysis of Colour-Doppler Ultrasound, Contrast-enhanced Ultrasound, Computed Tomography and Magnetic Resonance in Detecting Endoleak after Endovascular Abdominal Aortic Aneurysm Repair

被引：103
作者：
Cantisani, V. [1 ]
Ricci, P. [1 ]
Grazhdani, H. [1 ]
Napoli, A. [1 ]
Fanelli, F. [1 ]
Catalano, C. [1 ]
Galati, G. [2 ]
D'Andrea, V. [2 ]
Biancari, F. [3 ]
Passariello, R. [1 ]
机构：
[1] Univ Roma La Sapienza, Dept Radiol, Policlin Umberto I, I-00161 Rome, Italy
[2] Oulu Univ Hosp, Dept Surg, Oulu, Finland
[3] Univ Roma La Sapienza, Dept Surg Sci, I-00161 Rome, Italy
来源：
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2011年 / 41卷 / 02期
关键词：
Contrast-enhanced ultrasound; Computed tomography; Magnetic resonance; Endoleak; Endovascular; Abdominal aortic aneurysm; STENT-GRAFTS; CT; ANGIOGRAPHY; SCAN; MRI;
D O I：
10.1016/j.ejvs.2010.10.003
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Objectives: To assess the accuracy of colour-Doppler ultrasound (CDUS), contrast-enhanced ultrasonography (CEUS), computed tomography angiography (CIA) and magnetic resonance angiography (MRA) in detecting endoleaks after endovascular abdominal aortic aneurysm repair (EVAR). Design: Prospective, observational study. Materials and methods: From December 2007 to April 2009, 108 consecutive patients who underwent EVAR were evaluated with CDUS, CEUS, CTA and MRA as well as angiography, if further treatment was necessary. Sensitivity, specificity, accuracy and negative predictive value of ultrasound examinations were compared with CIA and MRA as the reference standards, or with angiography when available. Results: Twenty-four endoleaks (22%, type II: 22 cases, type III: two cases) were documented. Sensitivity and specificity of CDUS, CEUS, CIA, and MRA were 58% and 93%, 96% and 100%, 83% and 100% and 96% and 100% respectively. CEUS allowed better classification of endoleaks in 10, two and one patients compared with CDUS, CIA and MRA, respectively. Conclusions: The accuracy of CEUS in detecting endoleaks after EVAR is markedly better than CDUS and is similar to CIA and MRA. CEUS seems to be a feasible tool in the long-term surveillance after EVAR, and it may better classify endoleaks missed by other imaging techniques. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：186 / 192
页数：7
相关论文
共 31 条
[1]   Prospective, intraindividual comparison of MRI versus MDCT for endoleak detection after endovascular repair of abdominal aortic aneurysms [J].
Alerci, Mario ;
Oberson, Michel ;
Fogliata, Antonella ;
Gallino, Augusto ;
Vock, Peter ;
Wyttenbach, Rolf .
EUROPEAN RADIOLOGY, 2009, 19 (05) :1223-1231
[2]   MRA is useful as a follow-up technique after endovascular repair of aortic aneurysms with nitinol endoprostheses [J].
Ayuso, JR ;
de Caralt, TM ;
Pages, M ;
Riambau, V ;
Ayuso, C ;
Sanchez, M ;
Real, MI ;
Montaña, X .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2004, 20 (05) :803-810
[3]   Efficacy of ultrasound scan contrast agents in the noninvasive follow-up of aortic stent grafts [J].
Bendick, PJ ;
Bove, PG ;
Long, GW ;
Zelenock, GB ;
Brown, OW ;
Shanley, CJ .
JOURNAL OF VASCULAR SURGERY, 2003, 37 (02) :381-385
[4]   Ruptured abdominal aortic aneurysm after endovascular repair [J].
Bernhard, VM ;
Mitchell, RS ;
Matsumura, JS ;
Brewster, DC ;
Decker, M ;
Lamparello, P ;
Raithel, D ;
Collin, J .
JOURNAL OF VASCULAR SURGERY, 2002, 35 (06) :1155-1162
[5]   Endoluminal stent-grafts for infrarenal abdominal aortic aneurysms [J].
Blum, U ;
Voshage, G ;
Lammer, J ;
Beyersdorf, F ;
Tollner, D ;
Kretschmer, G ;
Spillner, G ;
Polterauer, P ;
Nagel, G ;
Holzenbein, T ;
Thurnher, S ;
Langer, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (01) :13-20
[6]   Comparison of contrast-enhanced ultrasound and computed tomography in classifying endoleaks after endovascular treatment of abdominal aorta aneurysms:: Preliminary experience [J].
Carrafiello, Gianpaolo ;
Lagana, Domenico ;
Recaldini, Chiara ;
Mangini, Monica ;
Bertolotti, Elena ;
Caronno, Roberto ;
Tozzi, Matteo ;
Piffaretti, Gabriele ;
Genovese, Eugenio Annibale ;
Fugazzola, Carlo .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2006, 29 (06) :969-974
[7]   Gadolinium chelates with weak binding to serum proteins - A new class of high-efficiency, general purpose contrast agents for magnetic resonance imaging [J].
Cavagna, FM ;
Maggioni, F ;
Castelli, PM ;
Dapra, M ;
Imperatori, LG ;
Lorusso, V ;
Jenkins, BG .
INVESTIGATIVE RADIOLOGY, 1997, 32 (12) :780-796
[8]  
DILLMACKY M, 2004, RADIOLOGY, V233, P217
[9]   Endovascular abdominal aortic aneurysm repair [J].
Eliason, Jonathan L. ;
Upchurch, Gilbert R., Jr. .
CIRCULATION, 2008, 117 (13) :1738-1744
[10]   Evaluation of abdominal aortic aneurysm after endoluminal treatment: Comparison of color Doppler sonography with biphasic helical CT [J].
Golzarian, J ;
Murgo, S ;
Dussaussois, L ;
Guyot, S ;
Said, KA ;
Wautrecht, JC ;
Struyven, J .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 178 (03) :623-628
1234