Document Detail


Thoracic aortic stent-grafts: utility of multidetector CT for pre- and postprocedure evaluation.
MedLine Citation:
PMID:  19001643     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Indications for and experience with placement of endovascular stent-grafts in the thoracic aorta are still evolving. Common pathologic conditions of the thoracic aorta that are amenable to stent placement include penetrating ulcers, aortic dissection, aortic aneurysms, aortic rupture, and congenital abnormalities. Advances in multidetector computed tomography (CT) permit high-quality two-dimensional multiplanar reformation and three-dimensional rendering, which are essential for comprehensive assessment of the thoracic aorta. The ability of multidetector CT to allow detailed evaluation in any plane or perspective enables detection of thoracic aortic disease and assessment of its relationship to normal vessels. Potential complications of endovascular stent placement include endoleaks, stent migration, pseudoaneurysms, dissection, aortic perforation, kinking, thrombosis, and coverage of vital branch vessels. It is important for the radiologist to not only detect pathologic conditions of the thoracic aorta but also to provide the referring clinician with the necessary pre- and postprocedure information to determine appropriate clinical care.
Authors:
Marchelle J Bean; Pamela T Johnson; Glen S Roseborough; James H Black; Elliot K Fishman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  28     ISSN:  1527-1323     ISO Abbreviation:  Radiographics     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-12     Completed Date:  2009-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1835-51     Citation Subset:  IM    
Affiliation:
Russell H Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. Mbean3@jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aorta, Thoracic / radiography*,  surgery*
Aortography / methods*
Blood Vessel Prosthesis*
Female
Humans
Male
Middle Aged
Postoperative Care / trends
Preoperative Care / methods
Prognosis
Prosthesis Implantation / methods
Stents*
Surgery, Computer-Assisted / methods*
Tomography, X-Ray Computed / methods*
Treatment Outcome

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


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