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CompletedNCT02688751Updated Jun 9, 2022

Contrast Enhanced Ultrasound, Endoleak Detection Following EVAR v1.3

An observational study in Endoleak and Abdominal Aortic Aneurysm, sponsored by Liverpool University Hospitals NHS Foundation Trust. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-06-09.

Sponsored by Liverpool University Hospitals NHS Foundation Trust · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

A single site cross-sectional comparison of paired diagnostic imaging modalities.

This study will show the sensitivity and specificity of CEUS in detecting the various types of endoleaks, in comparison to tCTA, following EVAR. It will collect data to allow comparison of diagnostic accuracy across modalities including CDU, CEUS and tCTA. It will collect time taken to perform the various types of scan, to allow healthcare costs to be calculated for each imaging modality.

Read the detailed description

This study will show the sensitivity and specificity of CEUS in detecting the various types of endoleaks, in comparison to tCTA, following EVAR. It will collect data to allow comparison of diagnostic accuracy across modalities including CDU, CEUS and tCTA. It will collect time taken to perform the various types of scan, to allow healthcare costs to be calculated for each imaging modality.

Collected data will be analysed regarding two novel hypothesised methods of using CEUS information:

The first is recording temporal delay between contrast in graft and contrast in endoleak to define endoleak type. Potentially this could be used as a faster method of defining endoleak type in a surveillance programme.

The second is to identify/refute correlation between CEUS contrast to appear in endoleak vs tCTA contrast to appear in endoleak. If an association can be established, CEUS timings could potentially then be used to time 'standard' CTA phases to improve CTAs diagnostic accuracy.

02

Conditions studied

  • Endoleak
  • Abdominal Aortic Aneurysm
03

In context

Endoleak

31 studies on the registry are indexed under Endoleak; 7 are open to participants now.

This study's enrollment of 30 is below the median of 65 across 15 observational studies indexed under Endoleak.

Browse Endoleak studies →

Lead sponsor

Liverpool University Hospitals NHS Foundation Trust is the lead sponsor of 61 studies on the registry; 13 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients identified as being at increased risk of Type I/III endoleak following EVAR who require CTA \& CEUS to confirm/refute this diagnosis.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Aged 18 or over
  2. Able to give informed consent
  3. Undergone an EVAR of infra-renal abdominal aortic aneurysm
  4. Planned for CTA of EVAR

Exclusion criteria

Exclusion Criteria:

  1. Unable to receive CTA Contrast Allergy, Insufficient renal function for standard outpatient contrast study (eGFR \<45) Overactive thyroid gland
  2. Unable to receive CEUS contrast Previous reaction to Sonovue (Ultrasound Contrast) Allergy to sulphur hexafluoride (used in electrical industry in circuit breakers, switch gears \& electrical equipment) Recent acute coronary syndrome or unstable angina, typical angina at rest or frequent or repeated angina/chest pain - all within previous 7 days Recent coronary intervention
  3. Previous embolization of artery in region of EVAR (affects imaging quality)
  4. BMI >30 (affects imaging quality)
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No

Interventions

  • Radiationtime-resolved CT Angiography

    A multi-phase contrast CT

  • ProcedureContrast Enhanced Ultrasound

    A ultrasound scan with micro bubble contrast injection

    Also known as: CEUS

06

What researchers measure

Primary outcomes

  1. Ability to detect type I/III endoleak on CEUS as defined by presence/absence on tCTA

    Will be presented as a Sensitivity \& specificity

    Time frame: Immediate

Secondary outcomes

  1. Ability to detect type II endoleak on CEUS as defined by presence/absence on tCTA

    Will be presented as a Sensitivity \& specificity

    Time frame: Immediate

  2. Ability to predict secondary intervention on CEUS as defined by patients proceeding to secondary intervention

    Will be presented as a Sensitivity \& specificity

    Time frame: Immediate

  3. Confirm / refute association between temporal delay measured on CEUS and endoleak type as defined by tCTA, using the framework of general linear regression.

    Temporal delay is the time difference between contrast arriving in the stent graft and contrast arriving in the endoleak on CEUS

    Time frame: Immediate

  4. Establish association between "CEUS contrast in endoleak" to "tCTA contrast in endoleak" by general linear regression analysis of timings recorded during CEUS & tCTA.

    Time frame: Immediate

  5. Ability to predict secondary intervention of CDU, CEUS and tCTAas defined by patients proceeding to secondary intervention

    Will be presented as a Sensitivity \& specificity

    Time frame: 6 months

  6. Time taken for CDU, CEUS & tCTA scans to be performed as measured by observer.

    Used to calculate total resource utilisation by individual scan types.

    Time frame: Immediate

07

Study locations

1 site
  • Royal Liverpool Hospital
    Liverpool, Merseyside L7 8XP, United Kingdom
08

References and documents

Publications

  • Roy IN, Chan TY, Czanner G, Wallace S, Vallabhaneni SR. Prospective, single UK centre, comparative study of the predictive values of contrast-enhanced ultrasound compared to time-resolved CT angiography in the detection and characterisation of endoleaks in high-risk patients undergoing endovascular aneurysm repair surveillance: a protocol. BMJ Open. 2018 Apr 3;8(4):e020835. doi: 10.1136/bmjopen-2017-020835. PubMed 29615450 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02688751
Lead sponsor
Liverpool University Hospitals NHS Foundation Trust
Responsible party
Sponsor
First posted
Feb 23, 2016
Start date
Jan 20, 2016
Primary completion
Mar 20, 2018
Completion
Mar 20, 2018
Last update
Jun 9, 2022

Study contacts

Srinivasa R Vallabhaneni, MD
study chair · Liverpool University Hospitals NHS Foundation Trust

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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