Affiliations: Department of Clinical Radiology, Klinikum Grosshadern, University of Munich, Munich, Germany | Department of Surgery, Klinikum Grosshadern, University of Munich, Munich, Germany
Note: [] Corresponding author: Dr. med. Dirk-André Clevert, Department of Clinical Radiology, University of Munich – Grosshadern Campus, Marchioninistr. 15, 81377 Munich, Germany. Tel.: +49 89 7095 3620; Fax: +49 89 7095 8832; E-mail: Dirk.Clevert@med.uni-muenchen.de.
Abstract: Endoleaks following endovascular aneurysm repair (EVAR) are common and present a diagnostic challenge in the follow-up after EVAR. Contrast-enhanced ultrasound (CEUS) with low mechanical index (low MI) is a promising new method for the diagnosis and follow-up of endoleaks. CEUS with SonoVue® allows a more rapid and noninvasive diagnosis, especially in critical patients owing to its bedside availability. This review describes the etiology, classification and importance of different types of endoleaks and compares CEUS findings with computed tomography angiography (CTA), allowing the reader to appreciate the usefulness of CEUS in this clinical situation.
