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评估超声造影在血管内主动脉瘤修复术中预栓后检测内漏的可行性：一项初步研究。

Evaluating the feasibility of contrast-enhanced ultrasound for detecting after preemptive coiling endoleaks in endovascular aortic aneurysm repair: A pilot study.

作者信息

Panagrosso Marco, Ghulam Qasam, Duvnjak Stevo, Resch Timothy

机构信息

Division of Vascular Surgery, Department of Cardiovascular Sciences, S. Anna and S. Sebastiano Hospital, Caserta, Italy.

Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Jul 3;10(5):101563. doi: 10.1016/j.jvscit.2024.101563. eCollection 2024 Oct.

DOI:10.1016/j.jvscit.2024.101563
PMID:39188692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11345354/
Abstract

Endovascular aortic aneurysm repair is widely used for the treatment of abdominal aortic aneurysm (AAA), but has a 10% to 40% incidence of type II endoleak during follow-up. There are various techniques to treat these endoleaks in the case of enlarging of the AAA, but the clinical effectiveness is low. In recent years, preemptive AAA sac embolization has shown some encouraging results with significant AAA shrinkage. However, the presence of embolic material can complicate continued endoleak detection making assessment of treatment outcome difficult. We investigate the ability of contrast-enhanced-ultrasound examination to detect endoleaks in patients undergoing preemptive coil embolization of the AAA sac.

摘要

血管内主动脉瘤修复术被广泛用于治疗腹主动脉瘤（AAA），但在随访期间II型内漏的发生率为10%至40%。在腹主动脉瘤扩大的情况下，有多种技术可用于治疗这些内漏，但临床效果不佳。近年来，预防性腹主动脉瘤瘤腔栓塞已显示出一些令人鼓舞的结果，腹主动脉瘤明显缩小。然而，栓塞材料的存在会使持续的内漏检测变得复杂，难以评估治疗效果。我们研究了超声造影检查在接受腹主动脉瘤瘤腔预防性弹簧圈栓塞的患者中检测内漏的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/11345354/524ef9399436/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/11345354/ba67d150be01/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/11345354/e5e6ba88509c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/11345354/524ef9399436/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/11345354/ba67d150be01/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/11345354/e5e6ba88509c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/11345354/524ef9399436/gr3.jpg

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Eur J Vasc Endovasc Surg. 2024 Feb;67(2):192-331. doi: 10.1016/j.ejvs.2023.11.002. Epub 2024 Jan 23.
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J Vasc Bras. 2021 Nov 1;20:e20200093. doi: 10.1590/1677-5449.200093. eCollection 2021.
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Prospective, Randomised Two Centre Trial of Endovascular Repair of Abdominal Aortic Aneurysm With or Without Sac Embolisation.
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