| Serial CT volume and thrombus length measurements after endovascular repair of Stanford type B aortic dissection. | |
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MedLine Citation:
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PMID: 14748634 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the outcome of stent-graft placement in Stanford type B aortic dissection using contrast-enhanced spiral computed tomographic (CT) measurements of true and false lumen volumes and thrombus length. METHODS: Among 18 consecutive patients (13 men; mean age 60 years, range 44-79) who underwent endovascular repair of Stanford type B dissection, 12 completed at least a 12-month follow-up, which included CT measurements of true and false lumen volumes and thrombus lengths prior to discharge and at 6 and 12 months postimplantation. Volumes were assessed in 3 different aortic segments (A1, A2, A3) extending from the proximal attachment site of the prosthesis to the aortic bifurcation. In addition, thrombus length was measured to evaluate the influence of clot formation on outcome of the false lumen volume. RESULTS: Mean follow-up was 27 months (range 12-60). Within 12 months, mean true lumen volumes showed statistically significant increases in the A1 (p<0.001) and A2 (p=0.003) segments; false lumen volumes showed a significant decrease in the A1 segment (p=0.002) but an insignificant increase in the A2 segment. No substantial volume changes were observed in the A3 segment. Extension of clot formation in the false lumen varied among patients and over time. Length of stent-grafts, percentage of stented dissection length, or visceral arteries originating from the false lumen did not significantly influence thrombus development, nor did these parameters or thrombus formation distal to the prosthesis have a relationship to false lumen volumes. CONCLUSIONS: Volumetric analysis after endovascular repair of Stanford type B dissection shows optimal technical outcome in the stented segment, whereas the false lumen in the segment immediately adjacent to the stent-graft seems to be a vulnerable area. Extension of clot formation beyond the endograft seems to be no reliable predictor of outcome. |
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Authors:
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Benedikt V Czermak; Ammar Mallouhi; Reinhold Perkmann; Iris E Steingruber; Peter Waldenberger; Beate Neuhauser; Gustav Fraedrich; Tarzis Jung; Werner R Jaschke |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 11 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-01-29 Completed Date: 2004-05-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 1-12 Citation Subset: IM |
Affiliation:
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Department of Radiology, Kurt Amplatz Center, University Hospital of Innsbruck, Austria. benedikt.czermak@uibk.ac.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aneurysm, Dissecting / surgery Aortic Aneurysm / radiography* Blood Vessel Prosthesis Implantation* / adverse effects Female Humans Image Processing, Computer-Assisted Logistic Models Male Middle Aged Prospective Studies Radiographic Image Enhancement* Stents Thrombosis / etiology Tomography, Spiral Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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