Type II lumbar endoleaks: Hemodynamic differentiation by contrast-enhanced ultrasound scanning and influence on aneurysm enlargement after endovascular aneurysm repair
作者： Irene Bargellini , Vinicio Napoli , Pasquale Petruzzi , Roberto Cioni , Claudio Vignali
DOI: 10.1016/J.JVS.2004.10.037
关键词:
摘要: Objective The objective of this study was to differentiate type II lumbar endoleaks on the basis dynamic features identified by contrast-enhanced ultrasound scanning (CUS) and evaluate role differentiation in detecting abdominal aortic aneurysm (AAA) enlargement ≥1 mL/mo. Methods Eighteen male patients (mean age, 71.8 years) with endoleak suspected at CUS underwent computed tomography angiography (CTA) digital subtraction (DSA). On CTA, AAA volumes visualization volume were assessed. At CUS, performed after a bolus 1.5 2.4 mL second generation blood pool contrast agent, following parameters evaluated: presence material within aneurysmal sac (endoleak), delay detection (wash-in) disappearance (washout) from beginning injection, inflow outflow vessels, cavity filling. Statistical analysis regarding rate enlargement. Results DSA confirmed all endoleaks. Mean ± standard deviation wash-in washout times 121.9 132.6 337.2 193.7 seconds, respectively; significant relation observed between these two ( P Conclusion Type show different hemodynamic which might influence enlargement, addressing need for treatment.
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C.J van Marrewijk, G Fransen, R.J.F Laheij, P.L Harris, J Buth, for the EUROSTAR Collaborators, Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. European Journal of Vascular and Endovascular Surgery. ,vol. 27, pp. 128- 137 ,(2004) , 10.1016/J.EJVS.2003.10.016
Matthew A. Corriere, Irene D. Feurer, Stacey Y. Becker, Jeffery B. Dattilo, Marc A. Passman, Raul J. Guzman, Thomas C. Naslund, Endoleak Following Endovascular Abdominal Aortic Aneurysm Repair: Implications for Duration of Screening Annals of Surgery. ,vol. 239, pp. 800- 807 ,(2004) , 10.1097/01.SLA.0000128300.60156.AB
Gregory A. Babcock, Jose R. Parra, Robert B. McLafferty, Laura A. Gruneiro, Don E. Ramsey, Kim J. Hodgson, Maurice M. Solis, Juan Ayerdi, Mechanism of failure in the treatment of type II endoleak with percutaneous coil embolization. Journal of Vascular Surgery. ,vol. 36, pp. 485- 491 ,(2002) , 10.1067/MVA.2002.126542
Manfred Cejna, Christian Loewe, Maria Schoder, Albert Dirisamer, Thomas Hölzenbein, Georg Kretschmer, Johannes Lammer, Siegfried Thurnher, MR angiography vs CT angiography in the follow-up of nitinol stent grafts in endoluminally treated aortic aneurysms. European Radiology. ,vol. 12, pp. 2443- 2450 ,(2002) , 10.1007/S00330-002-1429-8
F.Noel Parent, George H. Meier, Vasso Godziachvili, Christopher J. LeSar, Frank M. Parker, Kathleen A. Carter, Robert G. Gayle, Richard J. DeMasi, Michael J. Marcinczyk, Roger T. Gregory, The incidence and natural history of type I and II endoleak: A 5-year follow-up assessment with color duplex ultrasound scan Journal of Vascular Surgery. ,vol. 35, pp. 474- 481 ,(2002) , 10.1067/MVA.2002.121848
Alexandre d'Audiffret, Pascal Desgranges, D.Hicham Kobeiter, Jean-Pierre Becquemin, Follow-up evaluation of endoluminally treated abdominal aortic aneurysms with duplex ultrasonography: Validation with computed tomography Journal of Vascular Surgery. ,vol. 33, pp. 42- 50 ,(2001) , 10.1067/MVA.2001.112215
G.L. Gilling-Smith, J. Martin, S. Sudhindran, D.A. Gould, R.G. McWilliams, A. Bakran, J.A. Brennan, P.L. Harris, Freedom from endoleak after endovascular aneurysm repair does not equal treatment success. European Journal of Vascular and Endovascular Surgery. ,vol. 19, pp. 421- 425 ,(2000) , 10.1053/EJVS.1999.1029
J Golzarian, L Dussaussois, H T Abada, P A Gevenois, D Van Gansbeke, J Ferreira, J Struyven, Helical CT of aorta after endoluminal stent-graft therapy: value of biphasic acquisition. American Journal of Roentgenology. ,vol. 171, pp. 329- 331 ,(1998) , 10.2214/AJR.171.2.9694445
Chuh K. Chong, Thien V. How, Geoffrey L. Gilling-Smith, Peter L. Harris, Modeling endoleaks and collateral reperfusion following endovascular AAA exclusion. Journal of Endovascular Therapy. ,vol. 10, pp. 424- 432 ,(2003) , 10.1177/152660280301000305
JJ Wever, JD Blankensteijn, WP Th. M. Mali, BC Eikelboom, Maximal Aneurysm Diameter Follow-up is Inadequate after Endovascular Abdominal Aortic Aneurysm Repair European Journal of Vascular and Endovascular Surgery. ,vol. 20, pp. 177- 182 ,(2000) , 10.1053/EJVS.1999.1051