Contrast-enhanced ultrasound versus conventional ultrasound and MS-CT in the diagnosis of abdominal aortic dissection

2009 ◽  
Vol 43 (1-2) ◽  
pp. 129-139 ◽  
Author(s):  
D.-A. Clevert ◽  
A. Horng ◽  
D.-A. Clevert ◽  
E.M. Jung ◽  
W.H. Sommer ◽  
...  
2002 ◽  
Vol 9 (6) ◽  
pp. 926-931 ◽  
Author(s):  
Rocco Giudice ◽  
Antonio Frezzotti ◽  
Marco Scoccianti

Purpose: To describe how the combined use of duplex and intravascular ultrasound (IVUS) can assist in the evaluation and treatment of isolated abdominal aortic dissection without need for contrast angiography. Case Report: A 78-year-old man presented with intermittent bilateral buttock and thigh claudication. Duplex ultrasound and contrast-enhanced computed tomography (CT) confirmed a chronic dissection along 3 to 4 cm of the infrarenal abdominal aorta. During Extra Large Palmaz stent implantation, the procedure was based on IVUS images and fluoroscopy without angiography. Both duplex and IVUS images were critical in assessing the type and extent of the lesion to be treated, in guiding the procedure, and in assessing its satisfactory outcome. Conclusions: In selected cases, ultrasound-based imaging modalities can provide most of the information required to accomplish complex aortic procedures.


2020 ◽  
Vol 06 (03) ◽  
pp. E76-E86
Author(s):  
Diletta Cozzi ◽  
Simone Agostini ◽  
Elena Bertelli ◽  
Michele Galluzzo ◽  
Emanuela Papa ◽  
...  

AbstractConventional ultrasound imaging (US) is the first-line investigation in acute non-traumatic abdominal emergencies, but sometimes it needs further examinations, such as computed tomography (CT), to reach a certain diagnosis. Contrast-enhanced ultrasound (CEUS), through injection of contrast medium, may provide the radiologist with additional information that could not be investigated with baseline US. It could help reach a diagnosis and rapidly determine the proper therapy in an emergency setting. The purpose of this review is to explain and illustrate the various possibilities and limitations of CEUS in acute non-traumatic abdominal diseases, in particular acute inflammation, parenchymal infarcts, and hemorrhages.


2015 ◽  
Vol 61 (6) ◽  
pp. 1424-1431 ◽  
Author(s):  
Qian-qian Zhu ◽  
Dong-lin Li ◽  
Ming-chun Lai ◽  
Xu-dong Chen ◽  
Wei Jin ◽  
...  

2017 ◽  
Vol 3 (1) ◽  
pp. 20150332
Author(s):  
John Colville ◽  
Manmohan Madan ◽  
Khalid Bashaeb ◽  
Riza Ibrahim ◽  
Abysinia Sibanda

2016 ◽  
Vol 29 (3) ◽  
pp. 224
Author(s):  
Rui Machado ◽  
Duarte Rego ◽  
Luís Loureiro ◽  
Rui Almeida

Isolated acute abdominal aortic dissection is a relatively rare event. Its natural history is not fully understood and its optimal treatment is not established. Open surgery represents the most described treatment but endovascular intervention has had increasing application. Isolated chronic abdominal aortic dissection  is even less described in the literature. We describe three patients with isolated chronic abdominal aortic dissection who underwent endovascular treatment in our institution. Mean age at presentation was 82 years. Indication for surgical intervention was aneurismal degeneration. Mean aortic diameter at presentation was 46.7 mm. There was no perioperative mortality or reinterventions. Mean follow-up was 5.3 years (2-12 years). Late reintervention was needed in one patient, eight years after initial surgery, due to type 1 endoleak. According to our experience, endovascular intervention represents an effective and durable treatment option in isolated chronic abdominal aortic dissection. However, long-term follow-up is mandatory. Furthermore, larger studies are still needed to understand this disease and its adequate treatment.


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