Velocities of type II endoleaks on Doppler ultrasonography predict outcome
Autor: | Ross Milner, Christopher L. Skelly, Steven Maximus |
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Rok vydání: | 2020 |
Předmět: |
Male
Endoleak Ultrasound scan Hemodynamics 030204 cardiovascular system & hematology 03 medical and health sciences Aortic aneurysm symbols.namesake 0302 clinical medicine Aneurysm medicine Humans In patient 030212 general & internal medicine Retrospective Studies Aged 80 and over Ultrasonography Doppler Duplex Aortic aneurysm repair business.industry Endovascular Procedures medicine.disease Aortic Aneurysm symbols Female Surgery Ultrasonography Cardiology and Cardiovascular Medicine Nuclear medicine business Doppler effect Blood Flow Velocity |
Zdroj: | Journal of Vascular Surgery. 71:1719-1725 |
ISSN: | 0741-5214 |
Popis: | We sought to determine whether flow velocities measured using Doppler ultrasonography after endovascular aortic aneurysm repair (EVAR) can predict for resolution of type II endoleaks without intervention. We also assessed the relationship of the flow velocities to sac growth and the need for intervention. We hypothesized that hemodynamic properties suggesting low flow velocity would predict for resolution of type II endoleaks.The data from 23 patients with type II endoleaks identified on Doppler ultrasonography after EVAR from January 2014 to December 2017 were retrospectively analyzed. The 23 patients with type II endoleaks were split into two groups. Group 1 included the 13 patients with resolved endoleaks or shrinking sac size and group 2, the 10 patients with an increasing sac size or those requiring intervention to seal the endoleak because of an increased sac size. We analyzed the velocities of the endoleak nidus.Doppler ultrasound velocities were significantly lower in patients with resolved type II endoleaks and those with a shrinking aneurysm sac size compared with those demonstrating an increase in aneurysm sac size (42.6 ± 25.2 cm/s vs 219.5 ± 84.1 cm/s; P .0001). Of the 10 patients in group 2, nine had required intervention with either translumbar embolization or transarterial embolization, with only two experiencing complete resolution of the type II endoleak, despite the intervention. All patients in group 2 had had ≥1 duplex ultrasound scan with endoleak nidus velocities100 cm/s. In contrast, no patient in group 1 had had any duplex ultrasound scan with endoleak nidus velocities100 cm/s.The Doppler ultrasound velocities of type II endoleaks might be able to predict for spontaneous resolution of type II endoleaks or increased sac growth. Type II endoleaks on Doppler ultrasonography with endoleak nidus velocities100 cm/s can persistent, even with attempted treatment. |
Databáze: | OpenAIRE |
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