Jesse Habets1, Herman J.A. Zandvoort2, Sandra A. Cornelissen1, 3, Frans L. Moll2, L. Wilbert Bartels3, Joost A. van Herwaarden2, Tim Leiner1
1Radiology, University Medical Center Utrecht, Utrecht, Netherlands; 2Vascular Surgery, University Medical Center Utrecht, Utrecht, Netherlands; 3Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands
Endovascular repair for abdominal aortic aneurysm (EVAR) requires life-long postoperative imaging follow-up to detect complications. Prior work has shown that MRI with a blood pool agent with 85% albumin binding is more sensitive than CTA for endoleak detection, especially for slow flow and type II endoleaks. This work found that a gadolinium contrast agent with just 5% albumin binding is highly sensitive for the detection of endoleaks in patients with AAA growth and no or uncertain endoleak on CT angiography.