PMID: 15386985Sep 25, 2004Paper

Multislice TC in the planning of abdominal aortic aneurysms

Annali italiani di chirurgia
R MaroldiD Farina

Abstract

To assess the effectiveness of routine MSCT in the planning of endovascular and open surgery of AAA. A series of 42 consecutive patients was prospectively examined by MSCT (Siemens Sensation 16, arterial phase, bolus tracking threshold=200 HU, 75 mm collimation) for AAA surgery planning. MPR, MIP and VRT reconstructions were routinely obtained. In four cases previous DSA was available for comparison. AAA was classified infrarenal (28/42), juxtarenal (10/42), pararenal (2/42) and thoraco-abdominal (Crawford type IV (2/42). In 27/42 AAA maximum diameter was greater than 45 mm; involvement of a single iliac artery (6/42) or both (7/42) was also observed. Vascular anomalies were detected in 54.8% of patients. Overall, 22 accessory renal arteries, 4 visceral aneurysms (2 renal arteries, 1 celiac trunk, 1 SMA) and 1 retroaortic renal vein were detected. Patency of IMA was demonstrated in 25/42 AAA. Based on MSCT data 11 patients were treated (7 by open surgery, 4 by endovascular approach). No discrepancy was observed concerning the planned infrarenal clamping, all accessory renal arteries were identified at surgery. In all AAA, endovascular treatment planning matched the actual geometry of vessels. Although this series is limited, in...Continue Reading

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.