Document Detail

A systematic review of protocols for the three-dimensional morphologic assessment of abdominal aortic aneurysms using computed tomographic angiography.
MedLine Citation:
PMID:  22159906     Owner:  NLM     Status:  MEDLINE    
The morphology of infrarenal abdominal aortic aneurysms (AAAs) directly influences the perioperative outcome and long-term durability of endovascular aneurysm repair. A variety of methods have been proposed for the characterization of AAA morphology using reconstructed three-dimensional (3D) computed tomography (CT) images. At present, there is lack of consensus as to which of these methods is most applicable to clinical practice or research. The purpose of this review was to evaluate existing protocols that used 3D CT images in the assessment of various aspects of AAA morphology. An electronic search was performed, from January 1996 to the end of October 2010, using the Embase and Medline databases. The literature review conformed to PRISMA statement standards. The literature search identified 604 articles, of which 31 studies met inclusion criteria. Only 15 of 31 studies objectively assessed reproducibility. Existing published protocols were insufficient to define a single evidence-based methodology for preoperative assessment of AAA morphology. Further development and expert consensus are required to establish a standardized and validated protocol to determine precisely how morphology relates to outcomes after endovascular aneurysm repair.
Tamer M H Ghatwary; Benjamin O Patterson; Alan Karthikesalingam; Robert J Hinchliffe; Ian M Loftus; Robert Morgan; Matt M Thompson; Peter J E Holt
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-12-10
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  36     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-21     Completed Date:  2013-07-25     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  14-24     Citation Subset:  IM    
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MeSH Terms
Angiography / methods*
Angioplasty / methods
Aortic Aneurysm, Abdominal / physiopathology,  radiography*,  therapy*
Blood Vessel Prosthesis Implantation / methods
Follow-Up Studies
Imaging, Three-Dimensional*
Patient Selection
Preoperative Care / methods
Risk Assessment
Survival Analysis
Tomography, X-Ray Computed / methods*
Treatment Outcome
Grant Support
DRF-2011-04-083//Department of Health; NIHR-CS-011-008//Department of Health

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

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