Contrast-Enhanced Ultrasound in Vascular Surgery: Review and Update
Kim Bredahl1, Xavier Marti Mestre2, Ramon Vila Coll2
1Department of Vascular Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Annals of Vascular Surgery
|June 11, 2017
Summary
Second-generation contrast-enhanced ultrasound offers a safe and effective imaging tool for vascular surgery. This review explores its potential to enhance diagnosis and surveillance for conditions like carotid and lower limb arteriosclerotic disease.
Area of Science:
- Vascular Surgery
- Medical Imaging
Background:
- Traditional vascular imaging methods (CTA, MRA, DSA) are standard but carry risks.
- Ultrasound is currently limited to specific applications like carotid disease and aneurysm assessment.
- Advancements in ultrasound technology are poised to expand its role.
Purpose of the Study:
- To review current evidence and future potential of contrast-enhanced ultrasound (CEUS) in vascular surgery.
- To highlight CEUS applications in carotid and lower limb arteriosclerotic disease.
- To examine CEUS utility in post-endovascular aneurysm repair surveillance.
Main Methods:
- Topical review of existing literature on CEUS in vascular surgery.
- Focus on second-generation ultrasound contrast agents.
- Analysis of clinical decision-making and patient risk.
Main Results:
- Second-generation contrast agents are user-friendly, manageable, and safe.
- CEUS shows promise in evaluating carotid and lower limb arteriosclerotic disease.
- CEUS is a potential tool for surveillance after endovascular aneurysm repair.
Conclusions:
- Contrast-enhanced ultrasound is emerging as a valuable, low-risk imaging modality.
- CEUS may challenge traditional imaging methods in various vascular applications.
- Further research and adoption of CEUS are expected in vascular surgery.
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