The ECM is the key structural component determining dilatation and aneurysm formation in the aortic wall. 8 Abdominal aortic aneurysms (AAAs) are characterized by loss of elastin and increased collagen turnover. Apart from miR-29, the miR-15 family has been implicated in collagen remodeling and the characteristic postnatal silencing of elastin.9 The miR-15 family consists of 6 highly conserved microRNAs (miR-15a, miR15b, miR-16-1, miR-16-2, miR-195, and miR-497), which are clustered on 3 separate chromosomes. They have a common seed region (AGCAGCA) and varying degrees of sequence homology in the 3′ region of the mature microRNA.

3D CEUS may be more sensitive to endoleak following EVAR than either 2D CEUS or CTA.