Evaluation of Contrast-Enhanced Ultrasound to Detect Endoleaks After Endovascular Aortic Aneurysm Repair
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Endoleaks
- Sponsor
- E. Peden, MD
- Enrollment
- 20
- Locations
- 2
- Primary Endpoint
- Endoleak Detection
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This study will be a cross-sectional survey of interobserver variability associated with contrast enhanced ultrasound (CEUS) to detect endoleaks using computed tomographic angiography (CTA) as the practice standard. The investigators will enroll 40 consecutive patients undergoing endovascular abdominal aortic aneurysm repair (EVAR). At the first follow-up visit after the procedure, participants will undergo two abdominal ultrasound examinations with and without contrast, and one CTA. Analyses will be conducted to examine interobserver variability in the detection and characterization of endoleaks using contrast-enhanced ultrasound (CEUS). Other endpoints include examination of sensitivity and specificity of CEUS compared to CTA, and characterization of the number and types of endoleaks detected.
Investigators
E. Peden, MD
Sponsor-Investigator/Principal Investigator
The Methodist Hospital Research Institute
Eligibility Criteria
Inclusion Criteria
- •Age 18 years of age or greater;
- •Diagnosed with abdominal aortic aneurysm and has undergone or is scheduled to undergo endovascular repair procedure.
- •Has not completed the first scheduled post-treatment follow-up exam
- •Voluntary participation and signature of IRB-approved informed consent.
Exclusion Criteria
- •Inability to consent (includes non-English speaking patients)
- •Has already completed the first scheduled post-treatment follow-up exam.
- •Clinical instability;
- •Pregnancy / breast feeding;
- •Known allergy to perflutren;
- •Known or suspected right-to-left, bi-directional, or transient right-to-left cardiac shunts (based on manufacturer recommendations for use);
- •Recent heart attack (\<6 months), unstable angina or uncontrolled cardiopulmonary disease
- •Clinically unstable or recent worsening congestive heart failure (based on FDA warning)
- •Serious ventricular arrhythmias or at high risk for arrhythmias
- •Respiratory failure (based on FDA warning)
Outcomes
Primary Outcomes
Endoleak Detection
Time Frame: Same day outcome
Persistent of a pulsatile intrasac color flow outside the stent-graft