Journal of Vascular Surgery
Volume 51, Issue 5 , Pages 1103-1110 , May 2010

First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms

  • Reinhard Kopp, MD

      Affiliations

    • Department of Abdominal and Vascular Surgery, Klinikum Harlaching, Staedtisches Klinikum Munich, Munich, Germany
    • Department of Vascular Surgery, Klinikum Grosshadern, University of Munich, Munich, Germany
    • Corresponding Author InformationReprint requests: Reinhard Kopp, MD, Department of Abdominal and Vascular Surgery, Klinikum Harlaching, Staetisches Klinikum Munich, Sanatoriumsplatz 2, 81545 Munich, Germany
    • ,
  • Werner Zürn, MD

      Affiliations

    • Department of Internal Medicine, Klinikum Harlaching, Staedtisches Klinikum Munich, Munich, Germany
    • ,
  • Rolf Weidenhagen, MD

      Affiliations

    • Department of Vascular Surgery, Klinikum Grosshadern, University of Munich, Munich, Germany
    • ,
  • Georgios Meimarakis, MD

      Affiliations

    • Department of Vascular Surgery, Klinikum Grosshadern, University of Munich, Munich, Germany
    • ,
  • Dirk A. Clevert, MD

      Affiliations

    • Department of Clinical Radiology, Klinikum Grosshadern, University of Munich, Munich, Germany

Received 26 May 2009 ,Accepted 16 December 2009.

References 

  1. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004;364:843–848
  2. Prinssen M, Verhoeven ELG, Buth J, Cuypers PWM, van Sambeck MRHM, Balm R, et al A randomised trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–1618
  3. Schermerhorn ML, O'Malley AJ, Jhaveri A, Cotterill P, Pomposelli F, Landon BE. Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population. N Engl J Med. 2008;358:464–474
  4. White GH, Yu W, May J, Chaufour X, Stephen MS. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management. J Endovasc Surg. 1997;4:152–168
  5. Gilbert ES. Ionising radiation and cancer risks: what we have learned from epidemiology?. Int J Radiol Biol. 2009;28:1–16
  6. Weisbord SD, Palevsky PM. Radiocontrast-induced acute renal failure. J Intensive Care Med. 2005;20:63–75
  7. Lautin EM, Freeman NJ, Schoenfeld AH, Bakal CW, Haramati N, Friedman AC, et al. Radiocontrast-associated renal dysfunction: incidence and risk factors. AJR Am J Roentgenol. 1991;157:49–58
  8. Weisbord SD, Palevsky PM. Radiocontrast-induced acute renal failure. J Intensive Care Med. 2005;20:63–75
  9. Hasebroock KM, Serkova NJ. Toxicity of MRI and CT contrast agents. Exp Opin Drug Metabol Toxicol. 2009;5:403–416
  10. von Segesser LK, Marty B, Ruchat P, Bogen M, Gallino A. Routine use of intravascular ultrasound for endovascular aneurysm repair: angiography is not necessary. Eur J Vasc Endovasc Surg. 2002;23:537–542
  11. Gahlen J, Hansmann J, Schumacher H, Seelos R, Richter GM, Allenberg JR. Carbon dioxide angiography for endovascular grafting in high-risk patients with infrarenal abdominal aortic aneurysms. J Vasc Surg. 2001;33:646–649
  12. Bauer A, Solbiati L, Weissmann N. Ultrasound imaging with SonoVue: low mechanical index realtime imaging. Acad Radiol. 2002;9(suppl 2):S282–S284
  13. Lencioni R, Cioni D, Bartolozzi C. Tissue harmonic and contrast-specific imaging: back to grey-scale in ultrasound. Eur Radiol. 2002;12:151–161
  14. Greis C. Technology overview: SonoVue (Bracco, Milan). Eur Radiol. 2004;14(Suppl 8):11–15
  15. Wink MH, Wijkstra H, De la Rosette JJ, Grimbergen CA. Ultrasound imaging and contrast agents: a safe alternative to MRI. Minim Invasive Ther Allied Technol. 2006;15:93–100
  16. Hoeffel C, Mule S, Romaniuk B, Ladam-Marcus V, Bouche O, Marcus C. Advances in radiological imaging of gastrointestinal tumors. Crit Rev Oncol Hematol. 2009;69:153–167
  17. Clevert DA, Minaifar N, Weckbach S, Kopp R, Meimarakis G, Reiser M. Color duplex and contrast-enhanced ultrasound in comparison to MS-CT in the detection of endoleak following endovascular aneurysm repair. Clin Hemorheol Microcirc. 2008;39:121–132
  18. Kopp R, Weckbach S, Minaifar N, Meimarakis G, Weidenhagen R, Clevert DA. Follow-up of patients after EVAR for infrarenal aortic aneurysms: contrast-enhanced ultrasonography as an alternative to CT-angiography. Gefaesschirurg. 2008;13:410–416
  19. Clevert DA, Minafar N, Kopp R, Stickel M, Meimarakis G, Sommer W, et al. Imaging of endoleaks after endovascular aneurysm repair (EVAR) with contrast enhanced ultrasound (CEUS) (A pictorial comparison with CTA). Clin Hemorheol Microcirc. 2009;41:151–168
  20. Clevert DA, Kopp R. Contrast enhanced ultrasound for endovascular grafting in infrarenal abdominal aortic aneurysm in a single patient with risk factors for the use of iodinated contrast. J Vasc Interv Radiol. 2008;19:1241–1245
  21. Barnett SB, Duck F, Ziskin M. Recommendations on the safe use of ultrasound contrast agents. Ultrasound Med Biol. 2007;33:173–174
  22. Chuter TA, Faruqi RM, Sawhney R, Reilly LM, Kerlan RB, Canto CJ, et al. Endoleak after endovascular repair of abdominal aortic aneurysm. J Vasc Surg. 2001;34:98–105
  23. White RA. Endograft surveillance: a priority for long-term device performance. J Endovasc Ther. 2000;7:522
  24. Veith FJ, Baum RA, Ohki T, Amor M, Adiseshiah M, Blankensteijn JD, et al. Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference. J Vasc Surg. 2002;35:1029–1035
  25. Van der Laan MJ, Bartels LW, Viergever MA, Blankensteijn JD. Computed tomography versus magnetic resonance imaging of endoleaks after EVAR. Eur J Vasc Endovasc Surg. 2006;32:361–365
  26. Cejna M, Loewe C, Schoder M, Dirisamer A, Hälzenbein T, Kretschmer G, et al. MR angiograohy vs CT angiography in the follow-up of nitinol stent grafts in endoluminally treated aortic aneurysms. Eur Radiol. 2002;12:2443–2450
  27. McWilliams RG, Martin J, White D, Gould DA, Rowlands PC, Haycox A, et al. Detection of endoleak with enhanced ultrasound imaging: comparison with biphasic computed tomography. J Endovasc Ther. 2002;9:170–179
  28. Bendick PJ, Bove BG, Long GW, Zelenock GB, Brown OW, Shanley CJ. Efficacy of ultrasound scan contrast agents in the noninvasive follow-up of aortic stent grafts. J Vasc Surg. 2003;37:381–385
  29. Napoli V, Bargellini I, Sardella SG, Petruzzi P, Cioni R, Vignali C, et al. Abdominal aortic aneurysm: contrast-enhanced US for missed endoleaks after endoluminal repair. Radiology. 2004;233:217–225
  30. Iezzi R, Basilico R, Giancristofaro D, Pascali D, Cotroneo AR, Storto ML. Contrast-enhanced ultrasound versus color duplex ultrasound imaging in the follow-up of patients after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2009;49:552–560
  31. Deklunder G, Sediri I, Donati T, Boivin V, Gautier C, Haulon S. Follow up of endovascular abdominal aortic aneurysm repair with contrast ultrasound. J Radiol. 2009;90:141–147
  32. Chaer RA, Gushchin A, Rhee R, Marone L, Cho JS, Leers S, et al. Duplex ultrasound as the sole long-term surveillance method post-endovascular aneurysm repair: a safe alternative for stable aneurysms. J Vasc Surg. 2009;49:845–849discussion 849-50

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02647-0

doi: 10.1016/j.jvs.2009.12.050

Journal of Vascular Surgery
Volume 51, Issue 5 , Pages 1103-1110 , May 2010

Article Tools

* Image Usage & Resolution