The value of ultrasound contrast agents in diagnosis endoleaks in patients after stent-graft implantation
Journal Title: Postępy Nauk Medycznych - Year 2012, Vol 25, Issue 5
Abstract
<b>Introduction.</b> To assess efficacy of contrast-enhanced ultrasound in detecting endoleaks to aneurysmal sac after EVAR.<br><b>Material and methods. </b>During the period of 3 years standard and contrast-enhanced ultrasound with the use of SonoVue were performed in 196 patients who underwent Endovascular aortic aneurysm repair (EVAR). Ultrasound examinations and spiral CT were done 12 months after EVAR. The evidence of endoleak was evaluated.<br><b>Results. </b>In conventional Doppler study type I endoleaks were diagnosed in 3 patients and type II in 9 patients: 6 from lumbar arteries (LA) and 3 from inferior mesenteric artery (IMA). Contrast-enhanced ultrasound examinations revealed type I endoleaks in 4 patients and type II endoleaks in 15: 9 from LA and 6 from IMA and showed mechanism of endoleaks: 4 complex type II endoleaks and 11 simple endoleaks were diagnosed. CT examinations detected type I endoleaks in 5 patients and type II from IMA in 7 patients and confirmed 6 endoleaks from IMA diagnosed with the use of Sono-Vue and indicated one additional endoleak from IMA. CT examinations showed only 8 type II endoleaks from LA. There was one more endoleak from LA diagnosed with the use of SonoVue, not detected at CT.<br><b>Conclusions.</b> The use of ultrasound contrast agents increased diagnostic efficacy of Doppler examinations for detecting type I and II endoleaks. This examination has comparable to CT value in detecting type II endoleaks, but additionally ultrasound examinations with the use of SonoVue show mechanism of endoleak and direction and velocities of blood flow.
Authors and Affiliations
Anna Drelich-Zbroja, Monika Miazga, Tomasz Jargiełło, Katarzyna Wojtal, Michał Sojka, Małgorzata Szczerbo-Trojanowska
Keywords
Related Articles
- EP ID EP54448
- DOI -
- Views 161
- Downloads 0
Renal artery stenosis of the transplanted kidney as a cause of posttransplant arterial hypertensionRenal artery stenosis of the transplanted kidney as a cause of posttransplant arterial hypertension
Hypertension after kidney transplantation is a very common disease and its etiology is usually complex. One of the causes of hypertension after kidney transplantation is transplanted renal artery stenosis (TRAS). The cli...
Zaburzenia funkcji poznawczych oraz epizod dużej depresji jako niezależne czynniki ryzyka zaburzeń świadomości po zabiegach kardiochirurgicznych. Prospektywne badanie obserwacyjne
Wstęp. Zaburzenia świadomości są częstym i poważnym powikłaniem zabiegów kardiochirurgicznych, zaś wiedza na temat czynników predysponujących do ich wystąpienia jest wciąż ograniczona. Celem niniejszego badania jest ocen...
Factors contributing to the development of diseases of the oral mucosa and gums in children with type 1 diabetes
Introduction. Oral mucosal infections occur more often in patients with diabetes mellitus type 1 than in healthy population.Aim. The aim of the study was to analyze factors contributing to diseases of the oral mucosa and...
Knowledge about autism among Polish pediatricians
Our current research concerns knowledge about autism among Polish pediatricians. A study was conducted in order to answer the question what is the level of knowledge of pediatricians on autism and whether it differs depe...
Prehospital recognition and treatment of acute cyanide poisoning
Cyanide poisoning is characterized by a considerable mortality, reaching up to 95%. These poisonings occur more often than medical statistics show that as the largest group of patients are victims of fires. Properly carr...