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Novel use of contrast-enhanced ultrasound in the pretreatment planning prior to endovascular repair of endoleak after endovascular aortic aneurysm repair in a patient with chronic renal insufficiency: A case report and literature review


1 Department of Radiology, Division of Cardiovascular and Interventional Radiology, The Pennsylvania State University, College of Medicine, Hershey, PA, USA
2 Department of Radiology, Division of Body Imaging, The Pennsylvania State University, College of Medicine, Hershey, PA, USA
3 Department of Radiology, Division of Body Imaging, The Pennsylvania State University, College of Medicine, Hershey, PA, USA, USA
4 Department of Radiology, Penn State Health System, Hershey, PA, USA

Correspondence Address:
Jeffrey C Cruz,
Department of Radiology, Division of Cardiovascular and Interventional Radiology, The Pennsylvania State University, College of Medicine, Hershey, PA
USA
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Source of Support: None, Conflict of Interest: None

Endoleaks are a common complication in patients who have undergone endovascular stent-graft repair of abdominal aortic aneurysms. The management of these complications depends on the type of endoleak seen at follow-up imaging, with embolization being generally accepted treatment option for Type 2 endoleaks in certain clinical scenarios. Endovascular endoleak embolization can be arduous, time-consuming, and require large amounts of iodinated contrast during the angiographic procedure. This article describes a novel use of contrast-enhanced ultrasound as a clinical problem-solving tool in the preprocedural planning of patient undergoing an endoleak embolization.


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    -  Cruz JC
    -  McGillen KL
    -  Pryor W
    -  Esslinger D
    -  Shin B
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