| Pre-discharge duplex ultrasound scans detect endoleaks not seen on completion angiography after endovascular aneurysm repair. | |
| | |
MedLine Citation:
|
PMID: 20557174 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To determine whether a pre-discharge duplex ultrasound scan detects early endoleaks that would not otherwise have been identified. METHODS: A retrospective review was conducted of all patients undergoing elective infrarenal endovascular aneurysm repair (EVAR) at our center. These patients underwent intraoperative completion angiography, had a duplex ultrasound scan prior to hospital discharge, and were followed at 1, 3, and 6 months and at 6-month intervals thereafter. The outcome of any patients found to have an endoleak on a pre-discharge scan was studied. RESULTS: There were 52 EVAR patients (50 men; mean age 76 years, range 61-87) with endoleak on the pre-discharge duplex: 17 (2.8%) type I, 28 (4.6%) type II, and 8 (1.3%) type III. Of these, only 7 of the type I and 2 of the type II leaks had been detected on completion angiography. Among the patients with type I endoleaks, 5 had resolution of the leak, 10 required further endovascular interventions, and 2 had open repair (1 died of aneurysm rupture). Two patients with failed endovascular repairs of the leak also had open repair. Fifteen of the 28 type II endoleaks resolved, 4 were treated with endovascular procedures, 1 had open repair, 7 are being observed, and 1 was lost to follow-up. Six of the 8 type III leaks resolved, 1 required open repair for an enlarging sac, and 1 is being observed. CONCLUSION: Despite routine completion angiography, new endoleaks may be identified postoperatively, which suggests that more rigorous imaging at the point of completion angiography is required. |
| | |
Authors:
|
Rebecca M Sandford; Andrew J Batchelder; Matthew J Bown; Robert D Sayers |
Related Documents
:
|
21030704 - Influence of prophylactic, endovascularly based normothermia on inflammation in patient... 16859284 - Evaluation of big endothelin-1 concentrations in serum and ventricular cerebrospinal fl... 16520724 - Spinal fluid dynamics during thoracic- and thoracoabdominal aortic surgery. 17257944 - Pulmonary complications after descending thoracic and thoracoabdominal aortic aneurysm ... 1321054 - Combined chemotherapy including rifabutin for rifampicin and isoniazid resistant pulmon... 18988274 - A keratin biomaterial gel hemostat derived from human hair: evaluation in a rabbit mode... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 17 ISSN: 1545-1550 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-06-18 Completed Date: 2010-10-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
|
Languages: eng Pagination: 349-53 Citation Subset: IM |
Affiliation:
|
Vascular Surgery Group, Department of Cardiovascular Sciences, University of Leicester, UK. bex125@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Aortic Aneurysm / mortality, radiography, surgery*, ultrasonography* Aortography / methods* Blood Vessel Prosthesis* Blood Vessel Prosthesis Implantation / adverse effects, instrumentation* England Female Humans Male Middle Aged Patient Discharge Predictive Value of Tests Prosthesis Failure* Reoperation Retrospective Studies Stents* Surgical Procedures, Elective Time Factors Tomography, X-Ray Computed* Treatment Outcome Ultrasonography, Doppler, Color* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Impermeability to Blood of the E-vita Open Plus Hybrid Stent-Graft: Experimental and Clinical Evalua...
Next Document: Volume-outcome relationships in vascular surgery: the current status.