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Evaluation of Abdominal Aortic Aneurysm After Endoluminal Treatment

Comparison of Color Doppler Sonography with Biphasic Helical CT

Jafar Golzarian1, Salvatore Murgo1, Luc Dussaussois1, Sophie Guyot2, Kamel Ait Said1, Jean Claude Wautrecht2 and Julien Struyven1

1 Department of Radiology, Erasme Hospital, University of Brussels, 808 Route de Lennik, 1070 Brussels, Belgium.
2 Department of Vascular Pathology, Erasme Hospital, University of Brussels, 1070 Brussels, Belgium.



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  		Fig. 1A. —66-year-old man with aortomonoiliac stent-graft. Perigraft leak was visible on CT but was missed on color Doppler sonography (not shown). Helical CT scan shows small perigraft leak (white arrow) and curvilinear opacity (black arrow).

 


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  		Fig. 1B. —66-year-old man with aortomonoiliac stent-graft. Perigraft leak was visible on CT but was missed on color Doppler sonography (not shown). Helical CT scan shows connection of leak with inferior mesenteric artery (curved arrow). Curvilinear opacity (straight arrows) corresponds to distal part of aortic segment of endoluminal device (Corvita Europe, Brussels, Belgium) that is composed of main aortic segment and one or two iliac limbs.

 


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  		Fig. 2A. —72-year-old man with aortic tube stent-graft. Helical CT scan shows anterior perigraft leak (arrow).

 


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  		Fig. 2B. —72-year-old man with aortic tube stent-graft. Color Doppler sonogram shows flow in aneurysm sac (arrows).

 


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  		Fig. 3A. —67-year-old man with aortomonoiliac stent-graft. Helical CT scan shows important perigraft leak (straight arrow) and communication with lumbar artery (curved arrow).

 


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  		Fig. 3B. —67-year-old man with aortomonoiliac stent-graft. Color Doppler sonogram shows important turbulent flow inside aneurysm (arrows), but outflow vessel was not detected.

 

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