Evaluation with Doppler vascular ultrasound in postoperative endovascular treatment of abdominal aortic aneurysm: a prospective comparative study with angiotomography / Ecocardiografia vascular com Doppler na avaliação pós-operatória do tratamento endovascular de aneurisma da aorta adominal: estudo propspectivo comparativo com a angiotomografia
J. vasc. bras
;
12(2): 102-109, jun. 2013. tab, graf
Artículo
en Inglés
| LILACS
| ID: lil-687327
ABSTRACT
BACKGROUND:
Diagnosis of abdominal aortic aneurysm (AAA) is usually incidental, and surgical treatment, when indicated, may be open or endovascular. The drawbacks of computed angiotomography (CTA) and the advantages of Doppler ultrasonography have led to the development of alternative follow-up protocols, comparing the two methods.OBJECTIVE:
To determine validity indices for Doppler ultrasonography and to correlate them with CTA results in a group of patients who had undergone elective endovascular treatment of AAAs. MATERIAL ANDMETHODS:
Thirty-three patients were selected. The following three items were evaluated 1) presence or absence of endoleak; 2) presence of blood flow in the aortoiliac segment; and 3) maximum AAA diameter.RESULTS:
For the detection of endoleak, Doppler ultrasonography showed a sensitivity of 54.5%, a specificity of 92.8%, a positive predictive value of 85.7%, a negative predictive value of 92.8%, and an overall accuracy of 76%. For the evaluation of blood flow in the aortoiliac segment, values were 100, 97.8, 80, 97.8, and 98%, respectively. Maximum AAA diameter was similarly measured by both methods, with statistically significant differences (mean difference 1.98 mm). Pearson's correlation coefficient was 0.97, showing that Doppler ultrasonography and CTA yielded similar results.CONCLUSION:
Doppler ultrasonography showed good validity indices and a moderate correlation with CTA in the postoperative evaluation of patients undergoing endovascular treatment of AAAs. .
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Aneurisma de la Aorta Abdominal
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Inglés
Revista:
J. vasc. bras
Asunto de la revista:
Cardiología
Año:
2013
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Clínica DAPI/BR
/
Clínicas Áurea/BR
/
Colégio Brasileiro de Cirurgiões/BR
/
Hospital Nossa senhora das Graças/BR
/
Universidade Estadual do Oeste do Paraná/BR
/
Universidade Federal do Paraná/BR
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