Efficacy of Biomarkers and CEUS Versus CTA in AAA Follow-up Post-EVAR
NCT06866769 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 60
Last updated 2025-03-10
Summary
This prospective observational study evaluates the efficacy of contrast-enhanced ultrasound and biomarker determination in the follow-up of patients with abdominal aortic aneurysm (AAA) treated with Endovascular Aneurysm Repair (EVAR). Currently, computed tomography angiography (CTA) is the standard for follow-up, although it has disadvantages such as radiation exposure and the use of iodinated contrasts. Contrast-enhanced ultrasound (CEUS), free of radiation and nephrotoxicity, and biomarkers could reduce the need for CTA minimizing the associated risks. Biomarkers will be measured before and after EVAR and CEUS will be performed at various time points and compared with CTA results to validate concordance and effectiveness in detecting endoleaks and aneurysm remodeling. The objectives include determining the efficacy of these combined methods and establishing a follow-up protocol that reduces exposure to radiation and iodinated contrast agents.
Conditions
- Abdominal Aortic Aneurysm Without Rupture
Interventions
- DIAGNOSTIC_TEST
-
CTA
The levels of biomarkers are determined before (within 30 days prior to the procedure) and after the implantation of the stent (24-48 hours, 1 month, 3 months, 6 months, and at 1 year), along with the performance of a contrast-enhanced ultrasound. Additionally, a follow-up CT angiography is performed to validate the concordance, that is, to assess if there are changes in the biomarker values determined one month after the implantation of the stent compared to the baseline values that may suggest the presence of complications (endoleaks, infection, thrombosis, etc.).
Sponsors & Collaborators
-
Instituto de Investigacion Sanitaria La Fe
lead OTHER
Principal Investigators
-
Juan Manuel Sanchís García · Hospital Universitario La Fe
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-07-25
- Primary Completion
- 2025-07-30
- Completion
- 2028-04-30
- FDA Device
- Yes
Countries
- Spain
Study Locations
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