Duplex ultrasound and contrast-enhanced ultrasound versus computed tomography for the detection of endoleak after EVAR: systematic review and bivariate meta-analysis.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
T A MirzaJ R Boyle

Abstract

Contrast-enhanced computed tomography (CT) has become the 'gold-standard' imaging modality for surveillance following EVAR. However repeated CT causes cumulative contrast related renal injury. Duplex ultrasound (USS) and contrast-enhanced (non-nephrotoxic) duplex scanning (CEUS) are less invasive but considered less accurate than CT. The aim of this study was to determine the diagnostic accuracy of imaging modalities used to detect endoleak. Accordingly, we undertook a systematic review and meta-analysis of the evidence base for USS and CEUS compared to CT following EVAR. Medline, Embase, trial registries, conference proceedings and article reference lists were searched to identify trials comparing USS or CEUS with CT following EVAR. Contrast-enhanced computed tomography was taken as the 'gold-standard' investigation. USS and CEUS were compared to CT in separate meta-analyses. Twenty-one studies in 2601 patients compared USS with CT. The sensitivity of USS at detecting endoleak was 0.77 (95% CI 0.64-0.86; I(2)=0.82) and pooled specificity 0.94 (95% CI 0.88-0.97; I(2)=0.90). Seven studies (288 patients) compared CEUS vs CT. The pooled sensitivity was 0.98 (95% CI 0.90-0.99; I(2)=0.32) and specificity 0.88 (95% CI 0.78-0.94; I(2)...Continue Reading

References

Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Aug 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·P HeilbergerD Raithel
Sep 25, 1999·Journal of Vascular and Interventional Radiology : JVIR·R G McWilliamsP C Rowlands
Jun 1, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S ZannettiP Cao
Oct 14, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·J R BoyleM M Thompson
May 16, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Richard G McWilliamsPeter L Harris
Jul 4, 2002·Journal of Vascular Surgery·Robert B McLaffertyKim J Hodgson
Feb 4, 2003·Journal of Vascular Surgery·Phillip J BendickCharles J Shanley
Jan 14, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C J van MarrewijkUNKNOWN EUROSTAR Collaborators
Apr 27, 2004·Annals of Vascular Surgery·Monique PrinssenJan D Blankensteijn
Jun 10, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roy AshokeJanet T Powell
Oct 11, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ali F AbuRahmaBenjamin Dyer
Mar 28, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A Rumball-SmithT M Buckenham
Apr 14, 2006·Kidney International. Supplement·R W Katzberg, C Haller
May 16, 2006·Biostatistics·Roger M HarbordJonathan A C Sterne
Aug 1, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R M SandfordR D Sayers
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Maria Fabrizia GiannoniBruno Gossetti
Nov 6, 2007·Annals of Vascular Surgery·John T CollinsKristin Combs
Feb 8, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stewart R WalshJonathan R Boyle
May 1, 2008·The British Journal of Surgery·R A WeerakkodyM E Gaunt
Nov 15, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F J V SchlösserB E Muhs
Feb 12, 2009·Journal of Clinical Epidemiology·Roger M HarbordLucas M Bachmann
Mar 25, 2009·Journal of Vascular Surgery·Babak J OrandiGilbert R Upchurch
Apr 10, 2009·The British Journal of Surgery·J R Boyle
Mar 18, 2010·The British Journal of Surgery·A KarthikesalingamM M Thompson

❮ Previous
Next ❯

Citations

Sep 1, 2011·Abdominal Imaging·Carlos Nicolau, Tomás Ripollés
Oct 15, 2010·Cardiovascular and Interventional Radiology·Stephan BaumuellerThomas Frauenfelder
Oct 4, 2012·Current Opinion in Cardiology·Felix J V Schlösser, Bart E Muhs
Oct 11, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Paolo PeriniStéphan Haulon
Sep 24, 2014·AJR. American Journal of Roentgenology·Andrew C Picel, Nikhil Kansal
Jul 25, 2015·The International Journal of Cardiovascular Imaging·Arend F L SchinkelDaniel Staub
Feb 8, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Miltos K LazaridesGeorge Trellopoulos
Jun 16, 2016·Frontiers in Surgery·Mark ScaifeEfthymios D Avgerinos
Oct 27, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D DellagrammaticasK Mani
Jul 4, 2012·Annals of Vascular Surgery·Marlin Wayne CauseyBenjamin W Starnes
Jun 16, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J R Boyle
Jun 4, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J HabetsT Leiner
Jan 14, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E ChisciC Setacci
Feb 4, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Claudio CastagnoPietro Rispoli
Mar 25, 2014·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Nicholas SousarisRichard Barr
Aug 21, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Qiang GuoXiaojiong Du
May 30, 2015·Vascular and Endovascular Surgery·Nikesh DattaniRobert Sayers
Mar 10, 2012·Vascular Medicine·Efstratios GeorgakarakosMiltos Lazarides
May 18, 2011·Vascular and Endovascular Surgery·Ripal T GandhiPhilipp Geisbüsch
Jul 20, 2016·Ultrasound : Journal of the British Medical Ultrasound Society·Nadia JawadRaghuram Lakshminarayan
Apr 17, 2018·The British Journal of Radiology·Sasan PartoviBrian Ghoshhajra
Jun 10, 2017·The Cochrane Database of Systematic Reviews·Iosief AbrahaAlessandro Montedori
Mar 30, 2018·Ultrasound Quarterly·Sriharsha GummadiAndrej Lyshchik
May 11, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Audrey CourtoisNatzi Sakalihasan
Mar 5, 2020·AJR. American Journal of Roentgenology·Tyler Smith, Keith B Quencer
Jun 9, 2020·Circulation. Cardiovascular Imaging·Elixène Jean-BaptisteUNKNOWN Association Universitaire de Recherche en Chirurgie Vasculaire
Dec 14, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Maximilian de BucourtPatrick Hein
Oct 21, 2015·Clinical Hemorheology and Microcirculation·H ZimmermannD A Clevert
Sep 11, 2019·The British Journal of Radiology·Maaz Bj SyedEdwin Jr van Beek

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
P PeriniS Haulon
The New England Journal of Medicine
Jorg L De BruinDREAM Study Group
Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Roy AshokeJ T Powell
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
R M SandfordR D Sayers
© 2021 Meta ULC. All rights reserved