Journal of Vascular Surgery
Volume 50, Issue 5 , Pages 1012-1018 , November 2009

Endoleak after endovascular aneurysm repair: Duplex ultrasound imaging is better than computed tomography at determining the need for intervention

Presented at Thirty-third Annual Meeting of Southern Association of Vascular Surgery, Tucson, Ariz, Jan 14-17, 2009.

Received 14 April 2009 ,Accepted 8 June 2009.

References 

  1. EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1). Lancet. 2005;365:2179–2186
  2. Blankensteijn JD, de Jong SE, Prinssen M, van der Ham AC, Buth J, von Stertenburg SMM, et al. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2005;352:2398–2405
  3. Jones JE, Atkins MD, Brewster DC, Chung TK, Kwolek CJ, LaMuraglia , et al. Persistent type 2 endoleak after endovascular repair of abdominal aneurysm is associated with adverse late outcomes. J Vasc Surg. 2007;46:1–8
  4. Prinssen M, Wixon CL, Buskens E, Blankensteijn JD. Surveillance after endovascular aneurysm repair: diagnostics, complications, and associated costs. Ann Vasc Surg. 2004;18:421–427
  5. Brenner DJ, Elliston CD. Estimated radiation risks potentially associated with full-body CT screening. Radiology. 2004;232:735–738
  6. Brenner DJ, Hall EJ. Computed tomography–an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–2284
  7. De Jong PA, Mayod JR, Golmohammadi K, Nakano Y, Leqin MH, Tiddens H, et al. Estimation of cancer mortality associated with repetitive computed tomography scanning. Am J Respir Crit Care Med. 2006;173:199–203
  8. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA. 2007;298:317–323
  9. Thomas PR, Shaw JC, Ashton HA, Kay DN, Scott RA. Accuracy of ultrasound in a screening programme for abdominal aortic aneurysm. J Med Screen. 1994;1:3–6
  10. Elkouri S, Panneton JM, Andrews JC, Lewis BD, McKusick MA, Noel AA, et al. Computed tomography and ultrasound in follow-up of patients after endovascular repair of abdominal aortic aneurysm. Ann Vasc Surg. 2004;18:271–279
  11. Parent FN, Meier GH, Godziachvili V, LeSar CJ, Parker FM, Carter KA, et al. The incidence and natural history of type I and type II endoleak: a 5-year follow-up assessment with color duplex ultrasound scan. J Vasc Surg. 2002;35:474–481
  12. Sato DT, Goff CD, Gregory RT, Robinson KD, Carter KA, Herts BR, et al. Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan. J Vasc Surg. 1998;28:657–663
  13. d'Audiffret A, Desgranges P, Kobeiter DH, Becquemin JP. Follow-up evaluation of endoluminally treated abdominal aortic aneurysms with duplex ultrasonography: Validation with computed tomography. J Vasc Surg. 2001;33:42–50
  14. Wolf YG, Johnson BI, Hill BB, Rubin GD, Fogarty TJ, Zarins CK. Duplex ultrasound scanning versus computed tomographic angiography for postoperative evaluation of endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2000;32:1142–1148
  15. Collins JT, Boros MJ, Combs K. Ultrasound surveillance of endovascular aneurysm repair: A safe modality versus computed tomography. Ann Vasc Surg. 2007;21:671–675
  16. Golzarian J, Murgo S, Dussaussois L. Evaluation of abdominal aortic aneurysm after endoluminal treatment: comparison of color duplex sonography with biphasic helical CT. Am J Roentgenol. 2002;178:623–628
  17. Raman KG, Missig-Carol N, Richardson T. Color-flow duplex ultrasound scan versus computed tomographic scan in the surveillance of endovascular aneurysm repair. J Vasc Surg. 2003;38:645–651
  18. AbuRahma AF, Welch CA, Mullins BB, Dyer B. Computed tomography versus color duplex ultrasound for surveillance of abdominal aortic stent-grafts. J Endovasc Ther. 2005;12:568–573
  19. Sun Z. Diagnostic value of color duplex ultrasonography in the follow-up of endovascular repair of abdominal aortic aneurysm. J Vasc Interv Radiol. 2006;17:759–764
  20. Henao EA, Hodge MD, Felkai DD, McCollum CH, Noon GP, Lin PH, et al. Contrast-enhanced duplex surveillance after endovascular abdominal aortic aneurysm repair: improved efficacy using a continuous infusion technique. J Vasc Surg. 2006;43:259–264
  21. Giannoni MF, Fanelli F, Citone M, Acconcia MC, Speziale F, Gosetti B. Contrast ultrasound imaging: the best method to detect type II endoleak during endovascular aneurysm repair follow-up. Interactive Cardiovasc Thoracic Surg. 2007;6:359–362

 Competition of interest: none.

PII: S0741-5214(09)01331-7

doi: 10.1016/j.jvs.2009.06.021

Journal of Vascular Surgery
Volume 50, Issue 5 , Pages 1012-1018 , November 2009