Intravascular ultrasound (IVUS) in endovascular abdominal aortic aneurysm repair — an adjunctive imaging tool or even less invasive self-guidance method?

Autor: Kobak, Joanna Elżbieta, Wallach, Weronika, Oskroba, Aleksander, Janczewska, Martyna, Mączka, Ewelina, Kęsik, Jan, Borowski, Grzegorz, Zubilewicz, Tomasz, Terlecki, Piotr, Przywara, Stanisław
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Zdroj: Acta Angiologica; 2024, Vol. 30 Issue 1, p37-43, 7p
Abstrakt: Endovascular aneurysm repair (EVAR) is a minimally invasive technique alternative to conventional open surgical aneurysm repair. Nowadays, the majority of abdominal aortic aneurysms (AAAs) with suitable anatomy are primarily treated using EVAR; however, conventional EVAR procedure is associated with the necessity of contrast agent administration and exposure to ionizing radiation, which carries a risk not only for patients but also for the surgical team. Furthermore, the EVAR procedure may be unfeasible for patients with renal insufficiency and other contraindications to intravascular contrast agent administration, i.e. contrast allergy. An even less invasive guidance method for EVAR procedures seems to be intravascular ultrasound (IVUS), which may abolish the risk associated with contrast media usage and radiation exposure. The literature review concerns the latest research about IVUS guidance during EVAR to establish the current application of this imaging modality in daily clinical practice, its efficiency, advantages and drawbacks. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index