Efficacy of duplex ultrasound (DU) surveillance of complex EVAR such as FEVAR and ChEVAR has not been studied. All patients undergoing FEVAR or ChEVAR at a single multihospital institution were retrospectively reviewed. Postoperative surveillance included DU at 1 month and CTA at 3 months. 82 patients met inclusion criteria including 39 (47.6%) ChEVAR and 43 (52.4%) FEVAR cases. DU identified endoleak with aneurysm sac enlargement in 3 cases requiring reintervention. CTA at 3 months detected 2 new endoleaks without growth and 1 renal artery stent occlusion. Replacement of initial postoperative imaging with DU did not result in any missed endoleaks, deaths, ruptures, or branch occlusions.
GreenhalghRMTheEV. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004;364(9437):843–848.
2.
SchanzerAMessinaLMGhoshK, et al.Follow-up compliance after endovascular abdominal aortic aneurysm repair in Medicare beneficiaries. J Vasc Surg. 2015;61(1):16–22. e1.
3.
ChaikofELDalmanRLEskandariMK, 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.
4.
MollFLPowellJTFraedrichG, et al.Management of abdominal aortic aneurysms clinical practice guidelines of the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg. 2011;41(1):S1–S58.
5.
BeemanBRDoctorLMDoerrKMcAfee-BennettSDoughertyMJCalligaroKD. Duplex ultrasound imaging alone is sufficient for midterm endovascular aneurysm repair surveillance: a cost analysis study and prospective comparison with computed tomography scan. J Vasc Surg. 2009;50(5):1019–1024.
6.
CollinsJTBorosMJCombsK. Ultrasound surveillance of endovascular aneurysm repair: a safe modality versus computed tomography. Ann Vasc Surg. 2007;21(6):671–675.
7.
ManningBJO’NeillSMHaiderSNColganMPMadhavanPMooreDJ. Duplex ultrasound in aneurysm surveillance following endovascular aneurysm repair: a comparison with computed tomography aortography. J Vasc Surg. 2009;49(1):60–65.
DonasKPPecoraroFTorselloG, et al.Use of covered chimney stents for pararenal aortic pathologies is safe and feasible with excellent patency and low incidence of endoleaks. J Vasc Surg. 2012;55(3):659–665.
10.
GargiuloMGallittoESerraC, et al.Could four-dimensional contrast-enhanced ultrasound replace computed tomography angiography during follow up of fenestrated endografts? Results of a preliminary experience. Eur J Vasc Endovasc Surg. 2014;48(5):536–542.
11.
KristmundssonTSonessonBDiasNTörnqvistPMalinaMReschT. Outcomes of fenestrated endovascular repair of juxtarenal aortic aneurysm. J Vasc Surg. 2014;59(1):115–120.
KatzbergRWHallerC. Contrast-induced nephrotoxicity: clinical landscape. Kidney Int Suppl. 2006;69(100):S3–7.
15.
PrinssenMWixonCLBuskensEBlankensteijnJD. Surveillance after endovascular aneurysm repair: diagnostics, complications, and associated costs. Ann Vasc Surg. 2004;18(4):421–427.
16.
HarrisonGJOshinOAVallabhaneniSRBrennanJAFisherRKMcWilliamsRG. Surveillance after EVAR based on duplex ultrasound and abdominal radiography. Eur J Vasc Endovasc Surg. 2011;42(2):187–192.
17.
TroisiNDonasKPAustermannMTessarekJUmscheidTTorselloG. Secondary procedures after aortic aneurysm repair with fenestrated and branched endografts. J Endovasc Ther. 2011;18(2):146–153.
18.
MohabbatWGreenbergRKMastracciTMCuryMMoralesJPHernandezAV. Revised duplex criteria and outcomes for renal stents and stent grafts following endovascular repair of juxtarenal and thoracoabdominal aneurysms. J Vasc Surg. 2009;49(4):827–837; discussion 837.
19.
HeneghanREStarnesBWNathanDPZierlerRE. Renal duplex ultrasound findings in fenestrated endovascular aortic repair for juxtarenal aortic aneurysms. J Vasc Surg. 2016;63(4):915–921.
