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Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography
Splenic artery aneurysm (SAAs) rupture is associated with a high mortality rate. Regular surveillance with imaging before and after intervention is crucial to guide best evidence treatment. The following study aimed to determine the efficacy of color Doppler ultrasound imaging (DUS) compared to digi...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917602/ https://www.ncbi.nlm.nih.gov/pubmed/36769441 http://dx.doi.org/10.3390/jcm12030792 |
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author | Lamparski, Krzysztof Procyk, Grzegorz Bartnik, Krzysztof Korzeniowski, Krzysztof Maciąg, Rafał Matsibora, Vadym Sajdek, Michał Dryjańska, Alicja Wnuk, Emilia Rosiak, Grzegorz Maj, Edyta Januszewicz, Magdalena Gąsecka, Aleksandra Ostrowski, Tomasz Kaszczewski, Piotr Gałązka, Zbigniew Wojtaszek, Mikołaj |
author_facet | Lamparski, Krzysztof Procyk, Grzegorz Bartnik, Krzysztof Korzeniowski, Krzysztof Maciąg, Rafał Matsibora, Vadym Sajdek, Michał Dryjańska, Alicja Wnuk, Emilia Rosiak, Grzegorz Maj, Edyta Januszewicz, Magdalena Gąsecka, Aleksandra Ostrowski, Tomasz Kaszczewski, Piotr Gałązka, Zbigniew Wojtaszek, Mikołaj |
author_sort | Lamparski, Krzysztof |
collection | PubMed |
description | Splenic artery aneurysm (SAAs) rupture is associated with a high mortality rate. Regular surveillance with imaging before and after intervention is crucial to guide best evidence treatment. The following study aimed to determine the efficacy of color Doppler ultrasound imaging (DUS) compared to digital subtraction angiography (DSA) and magnetic resonance angiography (MRA) as a follow-up modality after selective coil embolization of true SAAs. We analyzed data from 20 patients, 15 females (48.1 ± 16.1 years) undergoing selective SAA coil embolization using detachable fibered embolization coils. Imaging using DUS, MRA, and DSA was performed 3 months after the initial embolization or the consequent re-embolization procedure. Primary clinical success, defined as Class I aneurysm occlusion, on 3-month follow-up was seen in 16 (80.0%) patients. DUS had a sensitivity of 94.4% and a specificity of 42.9% when compared to DSA and 92.3% and 30%, respectively, when compared to MRA in identifying Class I aneurysm occlusion. The positive predictive value (PPV) of DUS in identifying the need for re-embolization was 75.0%, while the NPV of DUS in these terms was 90.5%. DUS showed a high sensitivity in detecting aneurysm occlusion and clinical success, simultaneously exhibiting poor specificity. Still, with caution, this follow-up modality could be used for monitoring select low-risk patients after selective embolization of SAAs. DUS could provide a higher cost-to-benefit ratio, enabling more systematic post-procedural follow-up, as it is far more commonly used compared to MRA and non-invasive compared to DSA. |
format | Online Article Text |
id | pubmed-9917602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99176022023-02-11 Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography Lamparski, Krzysztof Procyk, Grzegorz Bartnik, Krzysztof Korzeniowski, Krzysztof Maciąg, Rafał Matsibora, Vadym Sajdek, Michał Dryjańska, Alicja Wnuk, Emilia Rosiak, Grzegorz Maj, Edyta Januszewicz, Magdalena Gąsecka, Aleksandra Ostrowski, Tomasz Kaszczewski, Piotr Gałązka, Zbigniew Wojtaszek, Mikołaj J Clin Med Article Splenic artery aneurysm (SAAs) rupture is associated with a high mortality rate. Regular surveillance with imaging before and after intervention is crucial to guide best evidence treatment. The following study aimed to determine the efficacy of color Doppler ultrasound imaging (DUS) compared to digital subtraction angiography (DSA) and magnetic resonance angiography (MRA) as a follow-up modality after selective coil embolization of true SAAs. We analyzed data from 20 patients, 15 females (48.1 ± 16.1 years) undergoing selective SAA coil embolization using detachable fibered embolization coils. Imaging using DUS, MRA, and DSA was performed 3 months after the initial embolization or the consequent re-embolization procedure. Primary clinical success, defined as Class I aneurysm occlusion, on 3-month follow-up was seen in 16 (80.0%) patients. DUS had a sensitivity of 94.4% and a specificity of 42.9% when compared to DSA and 92.3% and 30%, respectively, when compared to MRA in identifying Class I aneurysm occlusion. The positive predictive value (PPV) of DUS in identifying the need for re-embolization was 75.0%, while the NPV of DUS in these terms was 90.5%. DUS showed a high sensitivity in detecting aneurysm occlusion and clinical success, simultaneously exhibiting poor specificity. Still, with caution, this follow-up modality could be used for monitoring select low-risk patients after selective embolization of SAAs. DUS could provide a higher cost-to-benefit ratio, enabling more systematic post-procedural follow-up, as it is far more commonly used compared to MRA and non-invasive compared to DSA. MDPI 2023-01-19 /pmc/articles/PMC9917602/ /pubmed/36769441 http://dx.doi.org/10.3390/jcm12030792 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Lamparski, Krzysztof Procyk, Grzegorz Bartnik, Krzysztof Korzeniowski, Krzysztof Maciąg, Rafał Matsibora, Vadym Sajdek, Michał Dryjańska, Alicja Wnuk, Emilia Rosiak, Grzegorz Maj, Edyta Januszewicz, Magdalena Gąsecka, Aleksandra Ostrowski, Tomasz Kaszczewski, Piotr Gałązka, Zbigniew Wojtaszek, Mikołaj Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography |
title | Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography |
title_full | Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography |
title_fullStr | Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography |
title_full_unstemmed | Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography |
title_short | Can Color Doppler Ultrasound Be Effectively Used as the Follow-Up Modality in Patients Undergoing Splenic Artery Aneurysm Embolization? A Correlational Study between Doppler Ultrasound, Magnetic Resonance Angiography and Digital Subtraction Angiography |
title_sort | can color doppler ultrasound be effectively used as the follow-up modality in patients undergoing splenic artery aneurysm embolization? a correlational study between doppler ultrasound, magnetic resonance angiography and digital subtraction angiography |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917602/ https://www.ncbi.nlm.nih.gov/pubmed/36769441 http://dx.doi.org/10.3390/jcm12030792 |
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