Intraoperative ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms with internal iliac artery aneurysm_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YUAN Ding ¹ , WEN Xiaorong ² ,  ZHAO Jichun ¹ , HE Ying ² , WANG Jiarong ¹ , WANG Tiehao ¹ , CHENG Chuangen ³

1. Department of Vascular Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
2. Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
3. Department of General Surgery, District People’s Hospital of Dazhou, Dazhou, Sichuan 635000, P. R. China;

Corresponding author：

ZHAO Jichun, Email: zhaojc3@163.com

Keywords：

abdominal aortic aneurysm; internal iliac artery aneurysm; endovascular vascular aneurysm repair; ultrasound; radiographic contrast nephropathy

DOI：

10.7507/1007-9424.201805066

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Objective To discuss feasibility and effectivity of intraoperative ultrasound (US) during endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm. Methods A radiographic contrast nephropathy patient of abdominal aortic aneurysm and left internal iliac artery aneurysm was treated by EVAR without iodine contrast media assisted by US. Then summarized the data of this patient. Results The precise placement of the stent-graft was performed for abdominal aortic aneurysm. The left internal iliac artery aneurysm was successfully treatment with the stent-graft and coils. Intraoperative Ⅱ type endoleak from inferior mesenteric artery and Ⅰ b type endoleak from right iliac stent were identified by using US. The operative duration was 120 min and the blood loss was only 20 mL. Ⅱ type endoleak was still detected and the Ⅰ b type of endoleak was loss on postoperative a week. Conclusion Intraoperative US-assisted EVAR in patients with infrarenal abdominal aortic aneurysm represents a new option for intraoperative visualization of aortoiliac segments required as proximal or distal fixation zones and identification of endoleaks, especially in those patients with contraindications for usage of iodine-containing contrast agents.

Citation： YUAN Ding, WEN Xiaorong, ZHAO Jichun, HE Ying, WANG Jiarong, WANG Tiehao, CHENG Chuangen. Intraoperative ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms with internal iliac artery aneurysm. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(6): 728-734. doi: 10.7507/1007-9424.201805066 Copy

1.	Ren S, Fan X, Ye Z, et al. Long-term outcomes of endovascular repair versus open repair of abdominal aortic aneurysm. Ann Thorac Cardiovasc Surg, 2012, 18(3): 222-227.
2.	United Kingdom EVAR Trial Investigators; Greenhalgh RM, Brown LC, et al. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med, 2010, 362(20): 1863-1871.
3.	Weisbord SD, Palevsky PM. Radiocontrast-induced acute renal failure. J Intensive Care Med, 2005, 20(2): 63-75.
4.	Lautin EM, Freeman NJ, Schoenfeld AH, et al. Radiocontrast-associated renal dysfunction: incidence and risk factors. AJR Am J Roentgenol, 1991, 157(1): 49-58.
5.	von Segesser LK, Marty B, Ruchat P, et al. Routine use of intravascular ultrasound for endovascular aneurysm repair: angiography is not necessary. Eur J Vasc Endovasc Surg, 2002, 23(6): 537-542.
6.	Gahlen J, Hansmann J, Schumacher H, et al. Carbon dioxide angiography for endovascular grafting in high-risk patients with infrarenal abdominal aortic aneurysms. J Vasc Surg, 2001, 33(3): 646-649.
7.	Clevert DA, Kopp R. Contrast-enhanced ultrasound for endovascular grafting in infrarenal abdominal aortic aneurysm in a single patient with risk factors for the use of iodinated contrast. J Vasc Interv Radiol, 2008, 19(8): 1241-1245.
8.	Kopp R, Zürn W, Weidenhagen R, et al. First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms. J Vasc Surg, 2010, 51(5): 1103-1110.
9.	Sekiguchi H, Ajiro Y, Uchida Y, et al. Contrast-induced nephropathy and oxygen pretreatment in patients with impaired renal function. Kidney Int Rep, 2017, 3(1): 65-72.
10.	Boucek P, Havrdova T, Oliyarnyk O, et al. Prevention of contrast-induced nephropathy in diabetic patients with impaired renal function: a randomized, double blind trial of sodium bicarbonate versus sodium chloride-based hydration. Diabetes Res Clin Pract, 2013, 101(3): 303-308.
11.	Barrett BJ, Parfrey PS, Vavasour HM, et al. Contrast nephropathy in patients with impaired renal function: high versus low osmolar media. Kidney Int, 1992, 41(5): 1274-1279.
12.	Park KW, Koo BK, Kim HL, et al. The incidence and predictors of contrast-induced nephropathy in adequately hydrated elderly patients with impaired renal function. Nephrol Dial Transplant, 2007, 22(6): 1794-1795.
13.	Guo Q, Zhao J, Huang B, et al. A systematic review of ultrasound or magnetic resonance imaging compared with computed tomography for endoleak detection and aneurysm diameter measurement after endovascular aneurysm repair. J Endovasc Ther, 2016, 23(6): 936-943.
14.	Clevert DA, Minaifar N, Kopp R, et al. Imaging of endoleaks after endovascular aneurysm repair (EVAR) with contrast-enhanced ultrasound (CEUS). A pictorial comparison with CTA. Clin Hemorheol Microcirc, 2009, 41(3): 151-168.
15.	van der Laan MJ, Bartels LW, Viergever MA, et al. Computed tomography versus magnetic resonance imaging of endoleaks after EVAR. Eur J Vasc Endovasc Surg, 2006, 32(4): 361-365.
16.	Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg, 2018, 67(1): 2-77.e2.
17.	LeFevre ML, U.S. Preventive Services Task Force. Screening for abdominal aortic aneurysm: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med, 2014, 161(4): 281-290.
18.	Zucker EJ, Misono AS, Prabhakar AM. Abdominal aortic aneurysm screening practices: impact of the 2014 U.S. Preventive Services Task Force Recommendations. J Am Coll Radiol, 2017, 14(7): 868-874.
19.	Glover MJ, Kim LG, Sweeting MJ, et al. Cost-effectiveness of the national health service abdominal aortic aneurysm screening programme in England. Br J Surg, 2014, 101(8): 976-982.
20.	Davis M, Harris M, Earnshaw JJ. Implementation of the national health service abdominal aortic aneurysm screening program in England. J Vasc Surg, 2013, 57(5): 1440-1445.
21.	Hager J, Länne T, Carlsson P, et al. Lower prevalence than expected when screening 70-year-old men for abdominal aortic aneurysm. Eur J Vasc Endovasc Surg, 2013, 46(4): 453-459.
22.	White RA. Endograft surveillance: a priority for long-term device performance. J Endovasc Ther, 2000, 7(6): 522.
23.	Gilbert ES. Ionising radiation and cancer risks: what have we learned from epidemiology? Int J Radiat Biol, 2009, 85(6): 467-482.
24.	Chaer RA, Gushchin A, Rhee R, et al. Duplex ultrasound as the sole long-term surveillance method post-endovascular aneurysm repair: a safe alternative for stable aneurysms. J Vasc Surg, 2009, 49(4): 845-850.
25.	Iezzi R, Basilico R, Giancristofaro D, et al. Contrast-enhanced ultrasound versus color duplex ultrasound imaging in the follow-up of patients after endovascular abdominal aortic aneurysm repair. J Vasc Surg, 2009, 49(3): 552-560.

1. Ren S, Fan X, Ye Z, et al. Long-term outcomes of endovascular repair versus open repair of abdominal aortic aneurysm. Ann Thorac Cardiovasc Surg, 2012, 18(3): 222-227.
2. United Kingdom EVAR Trial Investigators; Greenhalgh RM, Brown LC, et al. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med, 2010, 362(20): 1863-1871.
3. Weisbord SD, Palevsky PM. Radiocontrast-induced acute renal failure. J Intensive Care Med, 2005, 20(2): 63-75.
4. Lautin EM, Freeman NJ, Schoenfeld AH, et al. Radiocontrast-associated renal dysfunction: incidence and risk factors. AJR Am J Roentgenol, 1991, 157(1): 49-58.
5. von Segesser LK, Marty B, Ruchat P, et al. Routine use of intravascular ultrasound for endovascular aneurysm repair: angiography is not necessary. Eur J Vasc Endovasc Surg, 2002, 23(6): 537-542.
6. Gahlen J, Hansmann J, Schumacher H, et al. Carbon dioxide angiography for endovascular grafting in high-risk patients with infrarenal abdominal aortic aneurysms. J Vasc Surg, 2001, 33(3): 646-649.
7. Clevert DA, Kopp R. Contrast-enhanced ultrasound for endovascular grafting in infrarenal abdominal aortic aneurysm in a single patient with risk factors for the use of iodinated contrast. J Vasc Interv Radiol, 2008, 19(8): 1241-1245.
8. Kopp R, Zürn W, Weidenhagen R, et al. First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms. J Vasc Surg, 2010, 51(5): 1103-1110.
9. Sekiguchi H, Ajiro Y, Uchida Y, et al. Contrast-induced nephropathy and oxygen pretreatment in patients with impaired renal function. Kidney Int Rep, 2017, 3(1): 65-72.
10. Boucek P, Havrdova T, Oliyarnyk O, et al. Prevention of contrast-induced nephropathy in diabetic patients with impaired renal function: a randomized, double blind trial of sodium bicarbonate versus sodium chloride-based hydration. Diabetes Res Clin Pract, 2013, 101(3): 303-308.
11. Barrett BJ, Parfrey PS, Vavasour HM, et al. Contrast nephropathy in patients with impaired renal function: high versus low osmolar media. Kidney Int, 1992, 41(5): 1274-1279.
12. Park KW, Koo BK, Kim HL, et al. The incidence and predictors of contrast-induced nephropathy in adequately hydrated elderly patients with impaired renal function. Nephrol Dial Transplant, 2007, 22(6): 1794-1795.
13. Guo Q, Zhao J, Huang B, et al. A systematic review of ultrasound or magnetic resonance imaging compared with computed tomography for endoleak detection and aneurysm diameter measurement after endovascular aneurysm repair. J Endovasc Ther, 2016, 23(6): 936-943.
14. Clevert DA, Minaifar N, Kopp R, et al. Imaging of endoleaks after endovascular aneurysm repair (EVAR) with contrast-enhanced ultrasound (CEUS). A pictorial comparison with CTA. Clin Hemorheol Microcirc, 2009, 41(3): 151-168.
15. van der Laan MJ, Bartels LW, Viergever MA, et al. Computed tomography versus magnetic resonance imaging of endoleaks after EVAR. Eur J Vasc Endovasc Surg, 2006, 32(4): 361-365.
16. Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg, 2018, 67(1): 2-77.e2.
17. LeFevre ML, U.S. Preventive Services Task Force. Screening for abdominal aortic aneurysm: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med, 2014, 161(4): 281-290.
18. Zucker EJ, Misono AS, Prabhakar AM. Abdominal aortic aneurysm screening practices: impact of the 2014 U.S. Preventive Services Task Force Recommendations. J Am Coll Radiol, 2017, 14(7): 868-874.
19. Glover MJ, Kim LG, Sweeting MJ, et al. Cost-effectiveness of the national health service abdominal aortic aneurysm screening programme in England. Br J Surg, 2014, 101(8): 976-982.
20. Davis M, Harris M, Earnshaw JJ. Implementation of the national health service abdominal aortic aneurysm screening program in England. J Vasc Surg, 2013, 57(5): 1440-1445.
21. Hager J, Länne T, Carlsson P, et al. Lower prevalence than expected when screening 70-year-old men for abdominal aortic aneurysm. Eur J Vasc Endovasc Surg, 2013, 46(4): 453-459.
22. White RA. Endograft surveillance: a priority for long-term device performance. J Endovasc Ther, 2000, 7(6): 522.
23. Gilbert ES. Ionising radiation and cancer risks: what have we learned from epidemiology? Int J Radiat Biol, 2009, 85(6): 467-482.
24. Chaer RA, Gushchin A, Rhee R, et al. Duplex ultrasound as the sole long-term surveillance method post-endovascular aneurysm repair: a safe alternative for stable aneurysms. J Vasc Surg, 2009, 49(4): 845-850.
25. Iezzi R, Basilico R, Giancristofaro D, et al. Contrast-enhanced ultrasound versus color duplex ultrasound imaging in the follow-up of patients after endovascular abdominal aortic aneurysm repair. J Vasc Surg, 2009, 49(3): 552-560.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Intraoperative ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms with internal iliac artery aneurysm

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