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Abstract #3376

MRI findings of aneurysmal inside and walls associated with sac shrinkage after endovascular aortic repair

Teppei Nakagomi1, Takahiko Mine2, Masashi Abe2, Tetsuro Sekine3, Daisuke Yasui3, Rika Kobayashi1, Seigoh Happoh2, Shinpei Ikeda2, Yasuhiro Kawase4, Masahiro Fujii4, Hiromitsu Hayashi1, and Shin-ichiro Kumita1
1Dapartment Of Radiology, Nippon Medical School Hospital, Tokyo, Japan, 2Dapartment Of Radiology, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan, 3Dapartment Of Radiology, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan, 4Department Of Cardiothoracic Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan

Synopsis

Keywords: Vascular, Cardiovascular, Abdominal aortic aneurysm

Motivation: To survey radiographical parameters to predict outcomes after EVAR.

Goal(s): To reveal new MRI findings associated with aneurysmal shrinkage.

Approach: Various MRI findings were extracted from fifty patients and the relationship between each finding and aneurysmal volume change was analyzed.

Results: Lack of endoleak, endoleak with clear boundary shapes, homogenous signal pattern or uncomplex heterogenous signal pattern of intra-aneurysmal thrombus, and aneurysmal wall enhancement and thickening were noted as the factors for sac shrinkage.

Impact: Some specific MRI findings as lack of endoleak, clear endoleak boundary, homogenous or uncomplex heterogenous thrombus, and aneurysmal wall enhancement thickening were noted as the factors for sac shrinkage.

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Keywords