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Feasibility of shear wave sonoelastography to detect endoleak and evaluate thrombus organization after endovascular repair of abdominal aortic aneurysm

European Radiology Mar 12, 2020

Voizard N, Bertrand-Grenier A, Alturkistani H, et al. - This study was carried out to assess the feasibility of shear wave sonoelastography (SWS) for endoleak detection and thrombus characterization of abdominal aortic aneurysm (AAA) after endovascular repair (EVAR). Between November 2014 and March 2016, individuals who underwent EVAR were prospectively recruited and followed until March 2019. They calculated elasticity maps of AAA using SWS and compared them to CT angiography (CTA) and color Doppler ultrasound (CDUS). The correlation between total thrombus elasticity, the proportion of fresh thrombus, and aneurysm growth between baseline and reference CTAs were considered as secondary outcomes. The results of this study indicated that SWS has the potential to detect endoleaks in AAA after EVAR with comparable sensitivity to CTA and superior sensitivity to CDUS.
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