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Aortic sac diameter measurements are important for EVAR surveillance but can be achieved reliably with ultrasound

机译:主动脉囊直径测量对于EVAR监测很重要,但是超声可以可靠地实现

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We were delighted to read the study by Niagara et al. regarding 47 patients post-EVAR implantation, showing that contrast-enhanced CT is not required for endoleak evaluation when Dmax is measured over 6 months post EVAR (1). We are in agreement that there is no need for contrast-enhanced CT surveillance. However we champion the use of duplex ultrasound surveillance, which reduces not only exposure of the patient to nephrotoxic contrast but also completely reduces the radiation exposure, which we know can be cumulatively harmful to patients particularly after long-term surveillance.
机译:我们很高兴阅读Niagara等人的研究。关于47名EVAR植入后患者的研究,表明当在EVAR后6个月内测量Dmax时,不需要进行增强CT内漏评估(1)。我们同意,无需进行增强对比的CT监视。但是,我们主张使用双工超声监视,这种监视不仅可以减少患者暴露于肾毒性造影剂下的辐射,而且可以完全减少放射线的暴露,我们知道这可能对患者造成累积危害,尤其是在长期监视之后。

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