Journal of Medical Ultrasound (Jan 2022)

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

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

DOI
https://doi.org/10.4103/JMU.JMU_173_20
Journal volume & issue
Vol. 30, no. 1
pp. 54 – 58

Abstract

Read online

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.

Keywords