{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:05:44Z","timestamp":1785416744178,"version":"3.56.0"},"reference-count":13,"publisher":"Akademiai Kiado Zrt.","issue":"18","license":[{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Eur\u00f3pai Uni\u00f3","award":["RRF-2.3.1-21-2022-00003"],"award-info":[{"award-number":["RRF-2.3.1-21-2022-00003"]}]},{"name":"Innov\u00e1ci\u00f3s \u00e9s Technol\u00f3giai Miniszt\u00e9rium T\u00e9mater\u00fcleti Kiv\u00e1l\u00f3s\u00e1gi Program","award":["2020-4.1.1.-TKP2020"],"award-info":[{"award-number":["2020-4.1.1.-TKP2020"]}]},{"DOI":"10.13039\/501100011019","name":"NKFIH","doi-asserted-by":"crossref","award":["1277-2\/2020"],"award-info":[{"award-number":["1277-2\/2020"]}],"id":[{"id":"10.13039\/501100011019","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002332","name":"Semmelweis Egyetem","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002332","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,5,4]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Az aortaaneurysma endovascularis rekonstrukci\u00f3ja\n                    (EVAR) ut\u00e1ni endoleak t\u00edpus\u00e1nak pontos meghat\u00e1roz\u00e1sa gyakran probl\u00e9m\u00e1t okoz a\n                    hagyom\u00e1nyos h\u00e1romf\u00e1zis\u00fa CT-angiogr\u00e1fia sor\u00e1n. A dinamikus CT-angiogr\u00e1fia\n                    viszonylag \u00faj k\u00e9palkot\u00e1si m\u00f3dszer, mely lehet\u0151s\u00e9get ad az EVAR ut\u00e1ni endoleakek\n                    pontosabb jellemz\u00e9s\u00e9re.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    2022. janu\u00e1r \u00e9s 2023. janu\u00e1r\n                    k\u00f6z\u00f6tt EVAR ut\u00e1n bizonytalan t\u00edpus\u00fa endoleak vagy n\u00f6vekv\u0151 aneurysmazs\u00e1k miatt\n                    k\u00f6vetett 15 p\u00e1ciensn\u00e9l v\u00e9gezt\u00fcnk dinamikus CT-angiogr\u00e1fi\u00e1s vizsg\u00e1latot Philips\n                    Brilliance iCT 256 szkennerrel. A vizsg\u00e1latok sor\u00e1n a c\u00e9lter\u00fclett\u0151l \u00e9s az\n                    el\u0151zetesen felt\u00e9telezett endoleak t\u00edpus\u00e1t\u00f3l f\u00fcgg\u0151en 12\u201318 k\u00e9psorozatot\n                    r\u00f6gz\u00edtett\u00fcnk 16 cm-es craniocaudalis lefedetts\u00e9ggel \u00e9s 4,4 m\u00e1sodperces\n                    id\u0151intervallummal vagy 8 cm-es lefedetts\u00e9ggel \u00e9s 0,8\u20132 m\u00e1sodperces id\u0151k\u00f6z\u00f6kkel.\n                    A dinamikus CT-angiogr\u00e1fi\u00e1s k\u00e9psorozatokat a Philips IntelliSpace Portal\n                    Functional CT szoftverrel elemezt\u00fck, az endoleak ter\u00fclet\u00e9n a Hounsfield-egys\u00e9gek\n                    id\u0151beli v\u00e1ltoz\u00e1sai alapj\u00e1n.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    Az \u00e1tlag\u00e9letkor 74,7 \u00b1\n                    9,3 \u00e9v volt, a betegek k\u00f6z\u00f6tt 10 f\u00e9rfi \u00e9s 5 n\u0151 volt. K\u00e9t esetben a kor\u00e1bban V.\n                    t\u00edpus\u00fanak v\u00e9lt endoleak val\u00f3j\u00e1ban II. t\u00edpus\u00fanak bizonyult, miut\u00e1n azokat a\n                    retrogr\u00e1d tel\u0151d\u00e9st okoz\u00f3 art\u00e9ri\u00e1k azonos\u00edt\u00e1s\u00e1val pontos\u00edtottuk. \u00d6t esetben az\n                    ismert II. t\u00edpus\u00fa endoleakekn\u00e9l a dinamikus CT-angiogr\u00e1fia seg\u00edts\u00e9g\u00e9vel az\n                    arteria (a.) mesenterica inferior \u00e9s\/vagy a lumbalis art\u00e9ri\u00e1kat hat\u00e1roztuk meg\n                    forr\u00e1sk\u00e9nt. Kor\u00e1bbi vizsg\u00e1latok sor\u00e1n egy\u00e9rtelm\u0171en nem meghat\u00e1rozhat\u00f3\n                    endoleakt\u00edpusokat 7 betegn\u00e9l siker\u00fclt meg\u00e1llap\u00edtani. Egy esetben az EVAR ut\u00e1ni\n                    kontroll-CT-angiogr\u00e1fia sor\u00e1n a. mesenterica inferiorb\u00f3l sz\u00e1rmaz\u00f3 II. t\u00edpus\u00fa\n                    endoleak gyan\u00faja mer\u00fclt fel, a k\u00e9s\u0151bbi dinamikus CT-angiogr\u00e1fi\u00e1s felv\u00e9telek\n                    azonban m\u00e1r endoleak n\u00e9lk\u00fcli elz\u00e1r\u00f3dott a. mesenterica inferiort mutattak.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A dinamikus CT-angiogr\u00e1fia \u00edg\u00e9retes\n                    kieg\u00e9sz\u00edt\u0151je lehet a standard h\u00e1romf\u00e1zis\u00fa CT-angiogr\u00e1fi\u00e1s vizsg\u00e1latnak EVAR ut\u00e1n\n                    a nehezen diagnosztiz\u00e1lhat\u00f3 endoleakek jellemz\u00e9s\u00e9ben, \u00e9s seg\u00edthet a k\u00e9s\u0151bbi\n                    c\u00e9lzott ter\u00e1pi\u00e1s beavatkoz\u00e1sok tervez\u00e9s\u00e9ben is. Orv Hetil. 2025; 166(18):\n                    704\u2013709.\n                  <\/jats:p>","DOI":"10.1556\/650.2025.33210","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T04:54:26Z","timestamp":1746420866000},"page":"704-709","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Endovascularis aortaaneurysma-rekonstrukci\u00f3t k\u00f6vet\u0151 endoleak-karakteriz\u00e1l\u00e1s dinamikus CT-angiogr\u00e1fia seg\u00edts\u00e9g\u00e9vel"],"prefix":"10.1556","volume":"166","author":[{"given":"Zs\u00f3fia","family":"Jokkel","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1d\u00e1m Levente","family":"Jermendy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1kos","family":"B\u00e9rczi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rton","family":"Berczeli","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csaba","family":"Csobay-Nov\u00e1k","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Borzs\u00e1k S, P\u00e9ter Cs, Suhai F, et al. Initial experiences with\n                    physician-modified endografts. [Kezdeti tapasztalataink az orvos \u00e1ltal\n                    m\u00f3dos\u00edtott sztentgraftok alkalmaz\u00e1s\u00e1val.] Orv Hetil. 2022; 163: 109\u2013115.\n                    [Hungarian]","DOI":"10.1556\/650.2022.32338"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Berczeli M, Osztrogon\u00e1cz P, Hidi L, et al. Initial experiences with\n                    percutaneous endovascular aortic reconstruction. [Percutan endovascularis\n                    aortarekonstrukci\u00f3val szerzett kezdeti tapasztalataink.] Orv Hetil. 2022; 163:\n                    1318\u20131323. [Hungarian]","DOI":"10.1556\/650.2022.32568"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Kassem TW. Follow up CT angiography post EVAR: endoleaks detection,\n                    classification and management planning. 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[Az\n                    endocsavaroz\u00e1s hat\u00e9kony lehet a juxtarenalis aortaaneurysm\u00e1k endovascularis\n                    kezel\u00e9s\u00e9ben.] Orv Hetil. 2022; 163: 631\u2013636. [Hungarian]","DOI":"10.1556\/650.2022.32449"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Sueyoshi E, Nagayama H, Sakamoto I, et al. Carbon dioxide digital\n                    subtraction angiography as an option for detection of endoleaks in endovascular\n                    abdominal aortic aneurysm repair procedure. J Vasc Surg. 2015; 61:\n                    298\u2013303.","DOI":"10.1016\/j.jvs.2014.07.088"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Berczeli M, Chinnadurai P, Legeza P, et al. Dynamic, time-resolved\n                    CT angiography after EVAR: a quantitative approach to accurately characterize\n                    aortic endoleak type and identify inflow vessels. J Endovasc Ther. 2023; 30:\n                    123\u2013131.","DOI":"10.1177\/15266028211070970"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Sommer WH, Becker CR, Haack M, et al. Time-resolved CT angiography\n                    for the detection and classification of endoleaks. Radiology 2012; 263:\n                    917\u2013926.","DOI":"10.1148\/radiol.12111217"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Lehmkuhl L, Andres C, L\u00fccke C, et al. Dynamic CT angiography after\n                    abdominal aortic endovascular aneurysm repair: influence of enhancement patterns\n                    and optimal bolus timing on endoleak detection. Radiology 2013; 268:\n                    890\u2013899.","DOI":"10.1148\/radiol.13120197"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Waldeck S, Overhoff D, Brockmann MA, et al. 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