Comparison of computed tomography and duplex imaging in assessing aortic morphology following endovascular aneurysm repair

The British Journal of Surgery
Matthew M ThompsonP R Bell

Abstract

Computed tomography (CT) has been used to assess patients following endovascular aneurysm repair to determine the need for secondary endoluminal or operative procedures. This prospective study compared CT and duplex imaging to evaluate aneurysm morphology following endoluminal aortic grafting. Twenty patients were evaluated at regular intervals following successful endoluminal aneurysm repair. CT and duplex scanning were compared in their ability to determine aneurysm and aortic diameter, the presence of perigraft extravasation (endoleaks) and technical defects in the endograft. In 20 patients who were assessed 6 months after operation, duplex imaging identified four endoleaks (two early, two late; one proximal, three distal). In three cases, the aneurysm diameter progressively increased after operation. In patients with a thrombosed aneurysm sac, the aneurysm regressed at a median of 0.40 (range 0.13-0.8) cm per year. The CT findings were similar (median regression 0.43 (range 0-1.0) cm per year), although CT was unable to predict the site of the leak as accurately as duplex imaging. CT demonstrated that the diameter of the juxtarenal aorta increased following endografting. Duplex imaging is a less invasive, less costly altern...Continue Reading

References

Jun 6, 1992·BMJ : British Medical Journal·P Brennan, A Silman
Aug 1, 1992·Archives of Surgery·A S Ward
Aug 1, 1995·American Journal of Surgery·A B LumsdenJ J Castronuovo
Apr 1, 1995·Journal of Vascular Surgery·J C Parodi
May 14, 1994·Lancet·A NasimA Bolia
Sep 1, 1994·Annals of Surgery·W S Moore, C L Vescera
May 1, 1993·European Journal of Vascular Surgery·R D SayersP R Bell
Feb 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R BalmJ Collin
Apr 1, 1996·The British Journal of Surgery·A NasimP R Bell
Jul 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J MayJ Harris
Oct 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P MangellT Länne
Nov 1, 1996·Journal of Vascular Surgery·M ResnikoffD M Shah
May 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·M M ThompsonP R Bell
Nov 1, 1995·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·J MayJ P Harris

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Citations

Oct 13, 2009·Der Radiologe·D-A ClevertM F Reiser
Oct 18, 2001·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·J P CarpenterR A Baum
Jun 10, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roy AshokeJanet T Powell
Oct 7, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·J R BoyleP R Bell
Sep 24, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·G D TreharneP R Bell
Apr 18, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·W Anthony LeeChristopher K Zarins
Sep 12, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hemant InglePeter R F Bell
Dec 23, 2008·Journal des maladies vasculaires·G SarlonA Branchereau
Jan 1, 2009·Seminars in Thoracic and Cardiovascular Surgery·Thomas G Gleason
Dec 23, 2004·Seminars in Vascular Surgery·Mark D Hiatt, Geoffrey D Rubin
Mar 22, 2005·ANZ Journal of Surgery·Isabel A WrightTim M Buckenham
Apr 27, 2004·Annals of Vascular Surgery·Monique PrinssenJan D Blankensteijn
Aug 13, 2002·Radiologic Clinics of North America·Siegfried Thurnher, Manfred Cejna
Jan 18, 2006·Journal of Vascular Surgery·Heitham T HassounJon S Matsumura
Nov 5, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M BurbelkoW Hundt
Jun 1, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S ZannettiP Cao
Jun 5, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L R SprouseG A Barber
Feb 4, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T A MirzaJ R Boyle
Feb 7, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C L ChanA E Giddings
Sep 8, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E L G VerhoevenJ J A M van den Dungen
Nov 11, 1998·Journal of Vascular Surgery·B SonessonK Ivancev
Oct 20, 1999·American Journal of Surgery·L A KarchD S Sumner
Feb 26, 1999·Seminars in Ultrasound, CT, and MR·J GolzarianJ Struyven
Apr 2, 1999·Journal of Vascular and Interventional Radiology : JVIR·T ReschB Lindblad
Mar 27, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Fabrizio D'AbateMatt M Thompson
Jun 10, 2017·The Cochrane Database of Systematic Reviews·Iosief AbrahaAlessandro Montedori

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