Intraoperative Detection of Persistent Endoleak by Detecting Residual Spontaneous Echocardiographic Contrast in the Aneurysmal Sac During Thoracic Endovascular Aortic Repair. (August 2017)

• Record Type: Journal Article
• Authors: Imai, Hidekazu; Ohashi, Nobuko; Yoshida, Takayuki; Okamoto, Takeshi; Kitamura, Nobutaka; Tanaka, Takahiro; Baba, Hiroshi
• Is Part Of: Anesthesia & analgesia. Volume 125:Number 2(2017)
• Publication Date: 2017-08
• Subjects: Anesthesiology -- Periodicals; Anesthesia; Anesthesiology; Analgesia; Analgesics; Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1213/ANE.0000000000002207
• Languages: English
• ISSNs: 0003-2999

Abstract

Abstract : Persistent endoleaks may lead to adverse events after endovascular aortic repair. We prospectively examined the relationship between intraoperative residual spontaneous echocardiographic contrast (SEC) within the aneurysmal sac and the incidence of postoperative endoleaks in 60 patients undergoing thoracic endovascular aortic repair. Patients with SEC had a higher incidence of postoperative endoleaks than did patients without SEC within a few days postoperatively (60.0% vs 12.5%, respectively; P < .001) and at 6 months postoperatively (40.0% vs 2.5%, respectively; P < .001). Intraoperative confirmation of the absence of SEC may identify patients at low risk for persistent endoleaks after thoracic endovascular aortic repair.