{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:46:57Z","timestamp":1792079217872,"version":"4.4.0"},"reference-count":63,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Backgroud: The use of dynamic computed tomography angiography (dCTA) for the detection of endoleaks in patients who underwent endovascular repair of abdominal aortic aneurysms is gaining interest. This study aims to provide an overview of the current applications of dCTA technologies in vascular surgery. Methods: We performed a comprehensive review by searching in the PubMed database and Cochrane Library (last search: 1 November 2024). We included studies considering endoleak investigation after endovascular aneurysm repair (EVAR). We included papers that reported the outcome of applications of dCTA, excluding case reports or very limited case series (\u22644). Finally, 14 studies regarding 377 computed tomography angiographies (CTA) were included and evaluated. Results: Persistent perfusion of the aneurysm sac is the most common complication after EVAR. Imaging-based surveillance post-EVAR is essential with the aim of early detection, characterization, and localization of endoleaks to guide therapeutic intervention or follow-up. dCTA detected 36 type I endoleaks versus 16 identified with standard CTA and 138 versus 95 type II endoleaks. Conclusions: The emergence of dCTA offers a promising solution through enhanced temporal resolution, allowing the visualization of real-time flow dynamics within the aneurysmal sac essential to establishing endoleak treatment or post-EVAR follow-up.<\/jats:p>","DOI":"10.3390\/diagnostics15030370","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T10:57:53Z","timestamp":1738666673000},"page":"370","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Role of Dynamic Computed Tomography Angiography in Endoleak Detection and Classification After Endovascular Aneurysm Repair: A Comprehensive Review"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9606-2641","authenticated-orcid":false,"given":"Alexandra","family":"Catasta","sequence":"first","affiliation":[{"name":"Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-8073","authenticated-orcid":false,"given":"Claudio","family":"Bianchini Massoni","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5719-4067","authenticated-orcid":false,"given":"Davide","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Surgical and Integrated Diagnostic Sciences, University of Genoa, 16132 Genoa, Italy"},{"name":"Clinic of Vascular and Endovascular Surgery, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Seitun","sequence":"additional","affiliation":[{"name":"Department of Radiology, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Pratesi","sequence":"additional","affiliation":[{"name":"Department of Surgical and Integrated Diagnostic Sciences, University of Genoa, 16132 Genoa, Italy"},{"name":"Clinic of Vascular and Endovascular Surgery, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3683-6360","authenticated-orcid":false,"given":"Nicola","family":"Cicala","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Freyrie","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy"},{"name":"Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4554-416X","authenticated-orcid":false,"given":"Paolo","family":"Perini","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Cardio-Thoracic and Vascular Department, University-Hospital of Parma, 43126 Parma, Italy"},{"name":"Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kessler, V., Klopf, J., Eilenberg, W., Neumayer, C., and Brostjan, C. 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