Vol 30, No 1 (2024)
Review paper
Published online: 2024-03-19
Intravascular ultrasound (IVUS) in endovascular abdominal aortic aneurysm repair — an adjunctive imaging tool or even less invasive self-guidance method?
12
, 3, 3, 4, 3, 12, 12, 12, 12, 12
, 3, 3, 4, 3, 12, 12, 12, 12, 12
DOI: 10.5603/aa.98563
Acta Angiologica 2024;30(1):37-43.
Abstract
Endovascular aneurysm repair (EVAR) is a minimally invasive technique alternative to conventional open surgical
aneurysm repair. Nowadays, the majority of abdominal aortic aneurysms (AAAs) with suitable anatomy are
primarily treated using EVAR; however, conventional EVAR procedure is associated with the necessity of contrast
agent administration and exposure to ionizing radiation, which carries a risk not only for patients but also for
the surgical team. Furthermore, the EVAR procedure may be unfeasible for patients with renal insufficiency
and other contraindications to intravascular contrast agent administration, i.e. contrast allergy. An even less
invasive guidance method for EVAR procedures seems to be intravascular ultrasound (IVUS), which may abolish
the risk associated with contrast media usage and radiation exposure. The literature review concerns the latest
research about IVUS guidance during EVAR to establish the current application of this imaging modality in daily
clinical practice, its efficiency, advantages and drawbacks.
Keywords: intravascular ultrasoundaneurysmEVARabdominal aortic aneurysmstent-graft
References
- Calero A, Illig KA. Overview of aortic aneurysm management in the endovascular era. Semin Vasc Surg. 2016; 29(1-2): 3–17.
- 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.
- Jones C, Badger SA, Boyd CS, et al. The impact of radiation dose exposure during endovascular aneurysm repair on patient safety. J Vasc Surg. 2010; 52(2): 298–302.
- Panuccio G, Greenberg RK, Wunderle K, et al. Comparison of indirect radiation dose estimates with directly measured radiation dose for patients and operators during complex endovascular procedures. J Vasc Surg. 2011; 53(4): 885–894.e1; discussion 894.
- Walsh C, O'Callaghan A, Moore D, et al. Measurement and optimization of patient radiation doses in endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2012; 43(5): 534–539.
- Ruz R, Lee K, Power AH, et al. Anatomic and procedural determinants of fluoroscopy time during elective endovascular aortic aneurysm repair. Vascular. 2016; 24(1): 19–24.
- de Almeida Mendes C, de Arruda Martins A, Teivelis MP, et al. Carbon Dioxide as Contrast Medium to Guide Endovascular Aortic Aneurysm Repair. Ann Vasc Surg. 2017; 39: 67–73.
- Morcos SK, Thomsen HS. Adverse reactions to iodinated contrast media. Eur Radiol. 2001; 11(7): 1267–1275.
- Caradu C, Coatsaliou Q, Colacchio EC, et al. Incidence of contrast-induced nephropathy and post-operative outcomes in patients undergoing chimney endovascular aortic aneurysm repair. Angiology. 2022; 73(9): 852–862.
- Beasley M, Broce M, Mousa A. The acute impact of baseline renal function and contrast medium volume/estimated glomerular filtration rate ratio on reduced renal function following endovascular abdominal aortic aneurysm repair. Vascular. 2023; 31(1): 72–82.
- Bush RL, Johnson ML, Hedayati N, et al. Endovascular aortic aneurysm repair in patients with renal dysfunction or severe contrast allergy: utility of imaging modalities without iodinated contrast. Ann Vasc Surg. 2002; 16(5): 537–544.
- Pearce BJ, Jordan WD. Using IVUS during EVAR and TEVAR: improving patient outcomes. Semin Vasc Surg. 2009; 22(3): 172–180.
- Manninen HI, Räsänen H. Intravascular ultrasound in interventional radiology. Eur Radiol. 2000; 10(11): 1754–1762.
- Peng C, Wu H, Kim S, et al. Recent advances in transducers for intravascular ultrasound (IVUS) imaging. Sensors (Basel). 2021; 21(10).
- Leertouwer TC, Gussenhoven EJ, van Overhagen H, et al. Stent placement for treatment of renal artery stenosis guided by intravascular ultrasound. J Vasc Interv Radiol. 1998; 9(6): 945–952.
- Williams DM, Lee DY, Hamilton BH, et al. The dissected aorta: percutaneous treatment of ischemic complications--principles and results. J Vasc Interv Radiol. 1997; 8(4): 605–625.
- Oppat WF, Chiou AC, Matsumura JS. Intravascular ultrasound-guided vena cava filter placement. J Endovasc Surg. 1999; 6(3): 285–287.
- Gagne PJ, Tahara RW, Fastabend CP, et al. Venography versus intravascular ultrasound for diagnosing and treating iliofemoral vein obstruction. J Vasc Surg Venous Lymphat Disord. 2017; 5(5): 678–687.
- Wang X, Yu C, Chen G, et al. Iliac vein stenting guided by intravascular ultrasound without iodinated contrast medium. Vasa. 2021; 50(1): 68–73.
- Vogt KC, Brunkwall J, Malina M, et al. The use of intravascular ultrasound as control procedure for the deployment of endovascular stented grafts. Eur J Vasc Endovasc Surg. 1997; 13(6): 592–596.
- Verbin C, Scoccianti M, Kopchok G, et al. Comparison of the utility of CT scans and intravascular ultrasound in endovascular aortic grafting. Ann Vasc Surg. 1995; 9(5): 434–440.
- Taalab MA, Kamal AM, Mohammad AF, et al. Intravascular ultrasound versus computed tomography angiography in sizing and operative management of endovascular aortic aneurysm repair. J Endovasc Ther. 2023 [Epub ahead of print]: 15266028231158964.
- Lv JC, Zhang LX. Prevalence and disease burden of chronic kidney disease. Adv Exp Med Biol. 2019; 1165: 3–15.
- Hill NR, Fatoba ST, Oke JL, et al. Global prevalence of chronic kidney disease - a systematic review and meta-analysis. PLoS One. 2016; 11(7): e0158765.
- Davenport MS, Perazella MA, Yee J, et al. Use of intravenous iodinated contrast media in patients with kidney disease: consensus statements from the American College of Radiology and the National Kidney Foundation. Radiology. 2020; 294(3): 660–668.
- Karaolanis GI, Antonopoulos CN, Georgakarakos E, et al. Colour duplex and/or contrast-enhanced ultrasound compared with computed tomography angiography for endoleak detection after endovascular abdominal aortic aneurysm repair: a systematic review and meta-analysis. J Clin Med. 2022; 11(13).
- Ahn SS, Rutherford RB, Johnston KW, et al. Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/International Society for Cardiovascular Surgery. J Vasc Surg. 1997; 25(2): 405–410.
- Hoshina K, Kato M, Miyahara T, et al. A retrospective study of intravascular ultrasound use in patients undergoing endovascular aneurysm repair: its usefulness and a description of the procedure. Eur J Vasc Endovasc Surg. 2010; 40(5): 559–563.
- Morito H, Hoshina K, Hosaka A, et al. Endovascular surgery for inflammatory abdominal aortic aneurysm with contrast allergy-usefulness of carbon dioxide angiography and intravascular ultrasound: a case report. Ann Vasc Dis. 2012; 5(1): 104–108.
- Guntani A, Okadome J, Kawakubo E, et al. Clinical results of endovascular abdominal aortic aneurysm repair in patients with renal insufficiency without hemodialysis. Ann Vasc Dis. 2012; 5(2): 166–171.
- Illuminati G, Nardi P, Fresilli D, et al. Fully ultrasound-assisted endovascular aneurysm repair: preliminary report. Ann Vasc Surg. 2022; 84: 55–60.
- Illuminati G, Pacilè MA, Ceccanei G, et al. Peroperative intravascular ultrasound for endovascular aneurysm repair versus peroperative angiography: a pilot study in fit patients with favorable anatomy. Ann Vasc Surg. 2020; 64: 54–61.
- Pecoraro F, Bracale UM, Farina A, et al. Single-Center experience and preliminary results of intravascular ultrasound in endovascular aneurysm repair. Ann Vasc Surg. 2019; 56: 209–215.
- Marty B, Tozzi P, Ruchat P, et al. Systematic and exclusive use of intravascular ultrasound for endovascular aneurysm repair - the Lausanne experience. Interact Cardiovasc Thorac Surg. 2005; 4(3): 275–279.
- Wanhainen A, Van Herzeele I, Bastos Goncalves F, et al. ESVS Guidelines Committee, Document Reviewers. Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. Eur J Vasc Endovasc Surg. 2019; 57(1): 8–93.
- Tutein Nolthenius RP, van den Berg JC, Moll FL. The value of intraoperative intravascular ultrasound for determining stent graft size (excluding abdominal aortic aneurysm) with a modular system. Ann Vasc Surg. 2000; 14(4): 311–317.
- White RA, Donayre C, Kopchok G, et al. Intravascular ultrasound: the ultimate tool for abdominal aortic aneurysm assessment and endovascular graft delivery. J Endovasc Surg. 1997; 4(1): 45–55, doi: 10.1583/1074-6218(1997)004<0045:IUTUTF>2.0.CO;2.
- Albertini J, Kalliafas S, Travis S, et al. Anatomical risk factors for proximal perigraft endoleak and graft migration following endovascular repair of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2000; 19(3): 308–312.
- Usai MV, Oberhuber A, Asciutto G. Assessment of bridging stent grafts in branched endovascular aortic repair (EVAR) procedures using intravascular ultrasound (IVUS). EJVES Vasc Forum. 2020; 47: 51–54.
- Gennai S, Leone N, Saitta G, et al. Intravascular ultrasound in branched and fenestrated endovascular aneurysm repair: initial experience in a single-center cohort study. J Endovasc Ther. 2021; 28(6): 828–836.
- Tenorio ER, Oderich GS, Sandri GA, et al. Impact of onlay fusion and cone beam computed tomography on radiation exposure and technical assessment of fenestrated-branched endovascular aortic repair. J Vasc Surg. 2019; 69(4): 1045–1058.e3.
- Marrocco CJ, Jaber R, White RA, et al. Intravascular ultrasound. Semin Vasc Surg. 2012; 25(3): 144–152.