Optimizing imaging and reducing radiation exposure during complex aortic endovascular procedures

The Journal of Cardiovascular Surgery
Vincenzo VentoStéphan Haulon

Abstract

Improvements in endovascular technologies and development of custom-made fenestrated and branched endografts currently allow clinicians to treat complex aortic lesions such as thoraco-abdominal and aortic arch aneurysms once treatable with open repair only. These advances are leading to an increase in the complexity of endovascular procedures which can cause long operation times and high levels of radiation exposure. This in turn places pressure on the vascular surgery community to display more superior interventional skills and radiological practices. Advanced imaging technology in this context represents a strong pillar in the treatment toolbox for delivering the best care at the lowest risk level. Delivering the best patient care while managing the radiation and iodine contrast media risks, especially in frail and renal impaired populations, is the challenge aortic surgeons are facing. Modern hybrid rooms are equipped with a wide range of new imaging applications such as fusion imaging and cone-beam computed tomography (CBCT). If these technologies contribute to reducing radiation, they can be complex and intimidating to master. The aim of this review is to discuss the fundamentals of good radiological practices and to descr...Continue Reading

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Citations

Nov 13, 2018·The Journal of Cardiovascular Surgery·Gustavo S Oderich, Emanuel R Tenorio
Mar 13, 2019·Cardiovascular and Interventional Radiology·Mario D'OriaSandro Lepidi

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