Vito Cantisani MD, Presenter: Nothing to Disclose

Alessandro Napoli MD, Abstract Co-Author: Nothing to Disclose

Guendalina Menichini MD, Abstract Co-Author: Nothing to Disclose

Eugenio Marotta MD, Abstract Co-Author: Nothing to Disclose

Paolo Ricci MD, Abstract Co-Author: Nothing to Disclose

Roberto Passariello MD, Abstract Co-Author: Nothing to Disclose

Ugo D'Ambrosio, Abstract Co-Author: Nothing to Disclose

et al, Abstract Co-Author: Nothing to Disclose

To evaluate the efficacy of color-Doppler-US and low-MI CEUS in the assessment of endovascular graft treatment for abdominal aneurysm as compared with 64-slice-angio-CT and angio-MRI

From February 2006 to Jenuary 2007, 120 consecutive patients (90 M; 30 F – mean age: 63aa) treated with endovascular aortic graft underwent color-Doppler-US, low-MI CEUS, 64-slice-angio-CT, angio-MRI and angiography if re-treatment was indicated. Sensitivity and specificity of ultrasound examinations were compared with CT and MRI as the reference standards or when available with the angiography. McNemar test was then calculated.

: Twelve true endoleaks (type II: 10, Type III: 2) were identified (10%) by the FU or by angiography. Sensitivity and specificity of color-doppler-US, CEUS, angio-CT, and angio-MRI were: 50, 100%, 83%,92% and 60,100,100,100% respectively. CEUS was significantly more accurate than US (p<0.001) and highly comparable to angio-CT and angio-MRI. Consequences to treatment occurred in 6 patients (50%).

CEUS is a feasible tool in follow-up of endovascular aortic aneurysm treatment since it may identify endoleaks missed at other imaging techniques.

CEUS is a feasible tool in follow-up of endovascular aortic aneurysm treatment and it may identify  easily also very small endoleaks .

Cantisani, V, Napoli, A, Menichini, G, Marotta, E, Ricci, P, Passariello, R, D'Ambrosio, U, et al, , Multimodality Evaluation of Consecutive Patients with Abdominal Aneurysm Treated with Endovascular Graft: Color-Doppler-US versus Low-MI CEUS Compared with 64-slice CTA and MRA.  Radiological Society of North America 2008 Scientific Assembly and Annual Meeting, February 18 - February 20, 2008 ,Chicago IL. http://archive.rsna.org/2008/6018512.html