The Assessment of Carbon Dioxide Automated Angiography in Type II Endoleaks Detection: Comparison with Contrast-Enhanced Ultrasound

Contrast Media & Molecular Imaging
Chiara MascoliMauro Gargiulo

Abstract

Iodinated contrast media completion angiography (ICM-A) may underestimate the presence of type II endoleak (ELII) after endovascular aortic repair (EVAR), particularly if they are at low flow. Contrast-enhanced ultrasound (CEUS) has been proposed as the gold standard in ELII detection during EVAR follow-up. Intraprocedural carbon dioxide (CO2) angiography has been shown to be useful in this setting; however no comparative studies including these three techniques are currently available. Our aim was to investigate the accuracy of a new automated CO2 angiographic (CO2-A) system in the detection of ELII, by comparing it with ICM-A and CEUS. A series of consecutive patients undergoing EVAR for abdominal aortic aneurysm (AAA) were enrolled and submitted to ICM-A and CO2-A during the procedure. The iodinated contrast media were delivered through an automatic injector connected to a pigtail catheter in the suprarenal aorta. CO2 was delivered through a recently available automatic injector connected to a 10 F sheath positioned in the external iliac artery. All patients were blindly evaluated by CEUS within postoperative day 1. The ICM-A and CO2-A ability to detect ELII was compared with that of CEUS through Cohen's concordance Index (K...Continue Reading

References

Oct 15, 2009·JAMA : the Journal of the American Medical Association·Frank A LederleUNKNOWN Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group
Mar 24, 2010·Vascular and Endovascular Surgery·Arvind D Lee, Roger G Hall
Apr 13, 2010·The New England Journal of Medicine·UNKNOWN United Kingdom EVAR Trial InvestigatorsMark J Sculpher
Feb 22, 2012·Journal of Vascular Surgery·Enrique CriadoGuillermo A Escobar
Mar 13, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A AbbasC N McCollum
Jul 16, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M GargiuloA Stella
Jul 23, 2015·European Journal of Radiology·Vito CantisaniFerdinando D'Ambrosio
Jul 30, 2015·The Journal of Cardiovascular Surgery·Enrico GallittoAndrea Stella
Feb 11, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C MascoliA Stella
Sep 28, 2016·Annals of Vascular Surgery·Cynthia de Almeida MendesNelson Wolosker

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Citations

Nov 30, 2019·Current Pharmaceutical Design·Theodosios Bisdas, Stylianos Koutsias
Jul 3, 2021·Jornal Vascular Brasileiro·Adalberto Batalha MegaleNelson Wolosker
Aug 29, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Andrea VacircaMauro Gargiulo

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Methods Mentioned

BETA
Destination

Software Mentioned

CnTI
SPSS
CEUS
CO

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