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慢性肾功能不全患者腹主动脉瘤腔内修复术后内漏腔内修复术前预处理计划中超声造影的新应用:病例报告及文献复习

Novel Use of Contrast-enhanced Ultrasound in the Pretreatment Planning Prior to Endovascular Repair of Endoleak after Endovascular Aortic Aneurysm Repair in a Patient with Chronic Renal Insufficiency: A Case Report and Literature Review.

作者信息

Cruz Jeffrey C, McGillen Kathryn L, Pryor William, Esslinger Daniel, Shin Benjamin

机构信息

Department of Radiology, Division of Cardiovascular and Interventional Radiology, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.

Department of Radiology, Division of Body Imaging, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.

出版信息

J Med Ultrasound. 2021 Apr 23;30(1):54-58. doi: 10.4103/JMU.JMU_173_20. eCollection 2022 Jan-Mar.

DOI:10.4103/JMU.JMU_173_20
PMID:35465604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9030361/
Abstract

Endoleaks are a common complication in patients who have undergone endovascular stent-graft repair of abdominal aortic aneurysms. The management of these complications depends on the type of endoleak seen at follow-up imaging, with embolization being generally accepted treatment option for Type 2 endoleaks in certain clinical scenarios. Endovascular endoleak embolization can be arduous, time-consuming, and require large amounts of iodinated contrast during the angiographic procedure. This article describes a novel use of contrast-enhanced ultrasound as a clinical problem-solving tool in the preprocedural planning of patient undergoing an endoleak embolization.

摘要

内漏是接受腹主动脉瘤血管内支架移植物修复术患者的常见并发症。这些并发症的处理取决于随访成像中所见内漏的类型,在某些临床情况下,栓塞通常被认为是治疗2型内漏的选择。血管内内漏栓塞可能艰巨、耗时,并且在血管造影过程中需要大量碘化造影剂。本文描述了超声造影在接受内漏栓塞患者的术前规划中作为临床问题解决工具的新用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/9030361/3141bd447516/JMU-30-54-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/9030361/752150ce1077/JMU-30-54-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/9030361/3f0aa3aa1b3a/JMU-30-54-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/9030361/3141bd447516/JMU-30-54-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/9030361/752150ce1077/JMU-30-54-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/9030361/3f0aa3aa1b3a/JMU-30-54-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/9030361/3141bd447516/JMU-30-54-g003.jpg

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本文引用的文献

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Characterization of Indeterminate Liver Lesions on CT and MRI With Contrast-Enhanced Ultrasound: What Is the Evidence?CT 和 MRI 平扫联合超声造影对肝脏局灶性病变的定性诊断:有何证据?
AJR Am J Roentgenol. 2020 Jun;214(6):1295-1304. doi: 10.2214/AJR.19.21498. Epub 2020 Mar 17.
2
Is contrast-enhanced ultrasound (CEUS) superior to computed tomography angiography (CTA) in detection of endoleaks in post-EVAR patients? A systematic review and meta-analysis.在检测血管腔内修复术后(EVAR)患者的内漏方面,超声造影(CEUS)是否优于计算机断层血管造影(CTA)?一项系统评价和荟萃分析。
J Ultrasound. 2019 Mar;22(1):65-75. doi: 10.1007/s40477-019-00364-7. Epub 2019 Feb 15.
3
Meta-analysis of the accuracy of contrast-enhanced ultrasound for the detection of endoleak after endovascular aneurysm repair.
对比增强超声检测血管内动脉瘤修复后内漏准确性的荟萃分析。
J Vasc Surg. 2019 Jan;69(1):280-294.e6. doi: 10.1016/j.jvs.2018.07.044. Epub 2018 Oct 29.
4
Transabdominal Direct Sac Puncture Embolization of Type II Endoleaks after Endovascular Abdominal Aortic Aneurysm Repair.血管腔内腹主动脉瘤修复术后经腹直接穿刺栓塞Ⅱ型内漏
J Vasc Interv Radiol. 2018 Aug;29(8):1167-1173. doi: 10.1016/j.jvir.2018.04.002. Epub 2018 Jun 22.
5
The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm.血管外科学会治疗腹主动脉瘤患者的实践指南。
J Vasc Surg. 2018 Jan;67(1):2-77.e2. doi: 10.1016/j.jvs.2017.10.044.
6
Contrast-Enhanced Ultrasound of the Liver: Optimizing Technique and Clinical Applications.肝脏超声造影:技术优化与临床应用
AJR Am J Roentgenol. 2018 Feb;210(2):320-332. doi: 10.2214/AJR.17.17843. Epub 2017 Dec 8.
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The value of contrast-enhanced ultrasound (CEUS) using a high-end ultrasound system in the characterization of endoleaks after endovascular aortic repair (EVAR).使用高端超声系统的对比增强超声(CEUS)在血管腔内主动脉修复术(EVAR)后内漏特征分析中的价值。
Clin Hemorheol Microcirc. 2017;66(4):283-292. doi: 10.3233/CH-179102.
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J Ultrasound Med. 2017 Mar;36(3):531-538. doi: 10.7863/ultra.15.11075. Epub 2017 Jan 10.
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