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Role of Color Duplex Ultrasound for Aortic Endografts

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Noninvasive Vascular Diagnosis

Abstract

The advent of minimally invasive endovascular techniques in the treatment of AAAs (EVAR) has increased the need for repeat imaging especially in the postoperative period. While computed tomography and angiography have dominated the field, repeatedly exposing patients to the deleterious effects of cumulative radiation and intravenous nephrotoxic contrast, color duplex ultrasound (CDU) technology has significantly evolved over the past decade and has become the cornerstone for surveillance post EVAR at multiple institutions. In addition to standard CDU, contrast-enhanced ultrasound modalities are revolutionizing AAA postoperative surveillance. This technology can accurately measure AAA diameter and volume, and most importantly it can detect endoleaks post EVAR with high sensitivity and specificity. The need for experienced US operators and accredited vascular labs is mandatory to guarantee the reliability of the results. The purpose of this chapter is to examine the use of CDU in aortic endografts and present the evidence supporting a selective policy of EVAR follow-up with duplex scanning.

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Author information

Authors and Affiliations

  1. Surgery, Division of Vascular Surgery, University of Pittsburgh Medical Center (UPMC), UPMC Presbyterian, Pittsburgh, PA, USA

    Rabih A. Chaer

  2. Surgery, Presbyterian University Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Efthymios Avgerinos

  3. Division of Vascular Surgery, UPMC Heart and Vascular Institute, Pittsburgh, PA, USA

    Michel S. Makaroun

Authors
  1. Rabih A. Chaer
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  2. Efthymios Avgerinos
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  3. Michel S. Makaroun
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Corresponding author

Correspondence to Rabih A. Chaer .

Editor information

Editors and Affiliations

  1. Department of Surgery, West Virginia University, Charleston, WV, USA

    Ali F. AbuRahma

  2. Johns Hopkins University, Baltimore, USA

    Bruce A. Perler

Section Editor information

  1. Department of Surgery, Division of Vascular Surgery & Endovascular Therapy, The John Hopkins University School of Medicine, Baltimore, Maryland, USA

    Bruce A. Perler

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Chaer, R.A., Avgerinos, E., Makaroun, M.S. (2021). Role of Color Duplex Ultrasound for Aortic Endografts. In: AbuRahma, A.F., Perler, B.A. (eds) Noninvasive Vascular Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-030-49616-6_54-1

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  • DOI: https://doi.org/10.1007/978-3-030-49616-6_54-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-49616-6

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