Magnetic Resonance Imaging is More Sensitive than Computed Tomography Angiography for the Detection of Endoleaks after Endovascular Abdominal Aortic Aneurysm Repair: A Systematic Review

Objectives The purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more sensitive for the detection of endoleaks in patients with abdominal aortic aneurysm (AAA) after EVAR. Design Systematic review. Materials and meth...

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Published inEuropean journal of vascular and endovascular surgery Vol. 45; no. 4; pp. 340 - 350
Main Authors Habets, J, Zandvoort, H.J.A, Reitsma, J.B, Bartels, L.W, Moll, F.L, Leiner, T, van Herwaarden, J.A
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.04.2013
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Abstract Objectives The purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more sensitive for the detection of endoleaks in patients with abdominal aortic aneurysm (AAA) after EVAR. Design Systematic review. Materials and methods A systematic electronic search was performed. Articles were included when post-EVAR patients were evaluated by both MRI as index test and CTA as comparison. Methodological quality was assessed with the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Primary outcome was the proportion of patients in whom MRI detected additional endoleaks, which were not seen with CTA. Results Eleven articles were included. The overall methodological quality of the articles was good. In total, 369 patients with 562 MRI and 562 CTA examinations were included. A total of 146 endoleaks were detected by CTA; MRI detected all but two of these endoleaks. With MRI 132 additional endoleaks were found. Conclusions MRI is more sensitive compared to CTA for the detection of post-EVAR endoleaks, especially for the detection of type II endoleaks. MRI should be considered in patients with continued AAA growth and negative or uncertain findings at CTA.
AbstractList OBJECTIVESThe purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more sensitive for the detection of endoleaks in patients with abdominal aortic aneurysm (AAA) after EVAR.DESIGNSystematic review.MATERIALS AND METHODSA systematic electronic search was performed. Articles were included when post-EVAR patients were evaluated by both MRI as index test and CTA as comparison. Methodological quality was assessed with the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Primary outcome was the proportion of patients in whom MRI detected additional endoleaks, which were not seen with CTA.RESULTSEleven articles were included. The overall methodological quality of the articles was good. In total, 369 patients with 562 MRI and 562 CTA examinations were included. A total of 146 endoleaks were detected by CTA; MRI detected all but two of these endoleaks. With MRI 132 additional endoleaks were found.CONCLUSIONSMRI is more sensitive compared to CTA for the detection of post-EVAR endoleaks, especially for the detection of type II endoleaks. MRI should be considered in patients with continued AAA growth and negative or uncertain findings at CTA.
The purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more sensitive for the detection of endoleaks in patients with abdominal aortic aneurysm (AAA) after EVAR. Systematic review. A systematic electronic search was performed. Articles were included when post-EVAR patients were evaluated by both MRI as index test and CTA as comparison. Methodological quality was assessed with the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Primary outcome was the proportion of patients in whom MRI detected additional endoleaks, which were not seen with CTA. Eleven articles were included. The overall methodological quality of the articles was good. In total, 369 patients with 562 MRI and 562 CTA examinations were included. A total of 146 endoleaks were detected by CTA; MRI detected all but two of these endoleaks. With MRI 132 additional endoleaks were found. MRI is more sensitive compared to CTA for the detection of post-EVAR endoleaks, especially for the detection of type II endoleaks. MRI should be considered in patients with continued AAA growth and negative or uncertain findings at CTA.
Objectives The purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more sensitive for the detection of endoleaks in patients with abdominal aortic aneurysm (AAA) after EVAR. Design Systematic review. Materials and methods A systematic electronic search was performed. Articles were included when post-EVAR patients were evaluated by both MRI as index test and CTA as comparison. Methodological quality was assessed with the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Primary outcome was the proportion of patients in whom MRI detected additional endoleaks, which were not seen with CTA. Results Eleven articles were included. The overall methodological quality of the articles was good. In total, 369 patients with 562 MRI and 562 CTA examinations were included. A total of 146 endoleaks were detected by CTA; MRI detected all but two of these endoleaks. With MRI 132 additional endoleaks were found. Conclusions MRI is more sensitive compared to CTA for the detection of post-EVAR endoleaks, especially for the detection of type II endoleaks. MRI should be considered in patients with continued AAA growth and negative or uncertain findings at CTA.
Author Moll, F.L
Reitsma, J.B
van Herwaarden, J.A
Leiner, T
Zandvoort, H.J.A
Bartels, L.W
Habets, J
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Keywords Computed tomography angiography
Systematic review
Magnetic resonance imaging
Endoleak
Abdominal aortic aneurysm
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Snippet Objectives The purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more...
The purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more sensitive for...
OBJECTIVESThe purpose of this systematic review was to examine whether magnetic resonance imaging (MRI) or computed tomography angiography (CTA) is more...
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SubjectTerms Abdominal aortic aneurysm
Aortic Aneurysm, Abdominal - surgery
Aortography - methods
Blood Vessel Prosthesis Implantation - adverse effects
Computed tomography angiography
Endoleak
Endoleak - diagnosis
Endoleak - diagnostic imaging
Endoleak - etiology
Endoleak - pathology
Endovascular Procedures - adverse effects
Humans
Magnetic Resonance Imaging
Predictive Value of Tests
Sensitivity and Specificity
Surgery
Systematic review
Tomography, X-Ray Computed
Treatment Outcome
Title Magnetic Resonance Imaging is More Sensitive than Computed Tomography Angiography for the Detection of Endoleaks after Endovascular Abdominal Aortic Aneurysm Repair: A Systematic Review
URI https://www.clinicalkey.es/playcontent/1-s2.0-S1078588413000063
https://dx.doi.org/10.1016/j.ejvs.2012.12.014
https://www.ncbi.nlm.nih.gov/pubmed/23403221
https://search.proquest.com/docview/1315627880
Volume 45
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