Document Detail


Aortic-neck dilation after endovascular abdominal aortic aneurysm repair (EVAR): can it be predicted?
MedLine Citation:
PMID:  22095419     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: This study was performed to evaluate whether dynamic computed tomography (CT) can provide functional vessel information predicting outcomes of aortic neck in patients undergoing endovascular aneurysm repair (EVAR) of an abdominal aortic aneurysm (AAA). MATERIALS AND METHODS: Twenty patients with and 20 without AAA were enrolled. Electrocardiographically (ECG)-gated data sets were acquired with a 64-slice CT scanner. Axial pulsatility measurements were taken at three levels: 2 cm above the highest renal artery; immediately below the lowest renal artery; 1 cm below the lowest renal artery. Three independent readers performed the measurements. Systolic and diastolic blood pressures were measured in the brachial artery to calculate arterial-wall distensibility expressed as pressure strain elastic modulus (Ep). Cross-sectional area change, wall distensibility and Ep value were statistically compared. RESULTS: No significant differences were found in terms of Ep values in the suprarenal and juxtarenal level. In the AAA group, a significantly higher value was obtained at the infrarenal level. A subgroup of patients with AAA (45%) had a significantly higher Ep value at the infrarenal level. CONCLUSIONS: Dynamic CT provided insight into the abdominal aorta pathophysiology. Identifying patients with higher infrarenal distensibility could change selection of graft size to improve proximal fixation.
Authors:
R Iezzi; M Santoro; G Di Natale; F Pirro; R Dattesi; M Nestola; F Snider; L Bonomo
Related Documents :
10228619 - Us, ct, and mr evaluation of accessory renal arteries and proximal renal arterial branc...
17319609 - Rare origin of supernumerary renal vessels supplying the lower pole of the left kidney.
25409769 - Prenatal diagnosis of an aneurysm of the mitral-aortic intervalvular fibrosa.
9489789 - Familial syndrome of progressive arterial occlusive disease consistent with fibromuscul...
12079949 - Giant aneurysm of renal artery: surgical management.
7895199 - Postoperative renal artery stump leak.
22251109 - Spinal anaesthesia for caesarean delivery in a parturient with babesiosis and lyme dise...
1383859 - Giant aneurysm of the azygos anterior cerebral artery associated with acute subdural he...
3605849 - The pulmonary vascular sequestration of neutrophils in endotoxemia is initiated by an e...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-17
Journal Detail:
Title:  La Radiologia medica     Volume:  -     ISSN:  1826-6983     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Bioimaging and Radiological Sciences, Institute of Radiology, "A. Gemelli" Hospital, Catholic University, L.go A. Gemelli 8, 00168, Rome, Italy, roberto.iezzi@rm.unicatt.it.
Vernacular Title:
È possibile predire la dilatazione del colletto prossimale dell'aneurisma dell'aorta addominale dopo trattamento endovascolare (EVAR)?
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Sonography of the small bowel after oral administration of fluid: an assessment of the diagnostic va...
Next Document:  Congenital aural atresia treated with floating mass transducer on the round window: 5 years of imagi...