Contrast-Enhanced Ultrasound Surveillance Following Endovascular Aneurysm Repair

Endovascular aneurysm repair (EVAR) has become the standard of care for many patients with abdominal aortic aneurysms. This lecture will address how contrast-enhanced ultrasound is an effective diagnostic tool for surveillance and follow-up to detect and classify endoleaks following EVAR. 

Target Audience

Cardiologists, vascular surgeons, interventional radiologists, echocardiography, respiratory therapists (direct delivery), pharmacists, nurses, nurse practitioners, physician assistants and noninvasive vascular testing specialists and sonographers. 

Learning Objectives

  • Explain the fundamental physics of contrast-enhanced ultrasound.
  • Apply proper use of contrast enhancement agents for EVAR.
  • Describe the pathophysiology of EVAR endoleaks.
  • Detect EVAR endoleaks on contrast-enhanced ultrasound.
  • Characterize enhancement of different types of EVAR endoleaks.
Additional information
Bibliography: 
  • Ashton, H. A., Buxton, M. J., Day, N. E., Kim, L. G., Marteau, T. M., Scott, R. A., ... & Walker, N. M. (2002). Multicentre Aneurysm Screening Study Group The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial. Lancet, 360(9345), 1531-1539. 
  • Gilabert, R., Buñesch, L., Real, M. I., García-Criado, Á., Burrel, M., Ayuso, J. R., ... & Riambau, V. (2012). Evaluation of abdominal aortic aneurysm after endovascular repair: prospective validation of contrast-enhanced US with a second-generation US contrast agent. Radiology, 264(1), 269-277. 
  • England, A., & Mc Williams, R. (2013). Endovascular aortic aneurysm repair (EVAR). The Ulster medical journal, 82(1), 3. 
  • Gurtler, V.M., Sommer, W.H., Meimarakis, G., Kopp, R., Weidenhagen, R., Reiser, M.F., & Clevert, D.A. (2013). A comparison between contrast-enhanced ultrasound imaging and multislice computed tomography in detecting and classifying endoleaks in the follow-up after endovascular aneurysm repair. Journal of vascular surgery, 58(2), 340-345. 
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
12/01/2020
Course expires: 
10/31/2021

Muhammad E. Hasan, MBBCh, RPVI
Diagnostic Medical Sonographer
Medical Education Manager
Miami Cardiac & Vascular Institute
Miami, Florida

Muhammad Hasan, MBBCh, RPVI, indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will include off-label or unapproved product usage in his presentation(s) or discussion(s).

Conference Directors

Elliott J. Elias, M.D., disclosed that he is a member of the speakers’ bureau for Abbott Laboratories. 

Brian J. Schiro, M.D., disclosed that he receives grant/research support from Medtronic and that he is a member of the speakers’ bureau for Penumbra and Sirtex. 

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

 

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
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