| Surgically Relevant Aortic Arch Mapping Using Computed Tomography. | |
| | |
MedLine Citation:
|
PMID: 22305684 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Recent advances in surgical repair of aortic arch pathologies have increasingly used endovascular stent-graft technology. The purpose of this study was to map the aortic arch diameters, branch orientations, and center line distances using a commercially available three-dimensional computed tomography-based software package and to propose a prototype design. METHODS: TeraRecon 3D imaging software was used for morphological assessment of computed tomography scans from 45 patients (mean age: 68 years; 26 males, 19 females). In each patient, 13 measurements were made in relation to the center line, including diameters at several preset points, distances, and branch vessel orientations. RESULTS: The mode of the proximal diameters (2 cm and 4 cm distal to coronary artery) was 32 mm and 34 mm. The mode of the distance between the innominate and left common carotid arteries was 5 mm and 6 mm, and the mode of the distance between the left common carotid artery and left subclavian artery was 8 mm. Most commonly, the left common carotid artery was anterior to the other arch branches by 3 to 5 mm. CONCLUSIONS: These anatomic measurements provide useful information for the advancement of minimally invasive and safer surgical repair of the aortic arch. Based on the most commonly observed measurements, a standardized off-the-shelf stent-graft is proposed that would be appropriate for the majority of patients. |
| | |
Authors:
|
Adrienne Finlay; Marjorie Johnson; Thomas L Forbes |
Related Documents
:
|
18251964 - New tunneled hemodialysis catheter placement through the old exit site. 22314454 - Clinical and angiographic profile of congenital anomalous origin of coronary arteries. 14534674 - Endovascular techniques for placement of long-term chemotherapy catheters. 3184424 - Subclavian catheter infections. 15906914 - Endovascular stent-graft and first rib resection for thoracic outlet syndrome complicat... 20826294 - A review of clinical trials and registries in descending thoracic aortic aneurysms. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-2-2 |
Journal Detail:
|
Title: Annals of vascular surgery Volume: - ISSN: 1615-5947 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
|
Created Date: 2012-2-6 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Anatomy and Cell Biology, The University of Western Ontario, London, Ontario, Canada. |
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: Limiting inflammatory response to cardiopulmonary bypass: pharmaceutical strategies.
Next Document: Randomized Trials in Angioplasty and Stenting of the Renal Artery: Tabular Review of the Literature ...