Kim Stephanie H, Litt Harold I
Department of Radiology, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania.
Semin Intervent Radiol. 2020 Oct;37(4):356-364. doi: 10.1055/s-0040-1715882. Epub 2020 Oct 1.
Endovascular aneurysmal repair (EVAR) has become a prominent modality for the treatment of abdominal aortic aneurysm. Surveillance imaging is important for the detection of device-related complications, which include endoleak, structural abnormalities, and infection. Currently used modalities include ultrasound, X-ray, computed tomography, magnetic resonance imaging, and angiography. Understanding the advantages and drawbacks of each modality, as well available guidelines, can guide selection of the appropriate technique for individual patients. We review complications following EVAR and advances in surveillance imaging modalities.
血管内动脉瘤修复术(EVAR)已成为治疗腹主动脉瘤的一种重要方式。监测成像对于检测与器械相关的并发症很重要,这些并发症包括内漏、结构异常和感染。目前使用的方式包括超声、X线、计算机断层扫描、磁共振成像和血管造影。了解每种方式的优缺点以及可用的指南,可以指导为个体患者选择合适的技术。我们综述了EVAR术后的并发症以及监测成像方式的进展。