Hybrid-repair of thoraco-abdominal or juxtarenal aortic aneurysm: what the radiologist should know

被引:3
|
作者
Krauss, Tobias [1 ]
Pfammatter, Thomas [1 ]
Mayer, Dieter [2 ]
Lachat, Mario [2 ]
Hechelhammer, Lukas [1 ]
Marincek, Borut [1 ]
Frauenfelder, Thomas [1 ]
机构
[1] Univ Zurich Hosp, Inst Diagnost Radiol, Dept Med Radiol, CH-8091 Zurich, Switzerland
[2] Univ Zurich Hosp, Cardiovasc Surg Clin, CH-8091 Zurich, Switzerland
关键词
Endovascular repair; Hybrid repair; Thoraco-abdominal aortic aneurysm; Debranching; STENT-GRAFT REPAIR; ENDOVASCULAR REPAIR; RISK-FACTORS; HELICAL CT; TRIAL; COMPLICATIONS; MANAGEMENT; ENDOLEAKS; EXCLUSION; OCCLUSION;
D O I
10.1007/s00330-009-1603-3
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Endovascular aneurysm repair of the infrarenal or thoracic aorta has been shown to be a less invasive alternative to open surgery. A combined aneurysm of the thoracic and abdominal aorta is complex and challenging; the involvement of renal and/or visceral branches requires new treatment methods. A hybrid approach is currently an accepted alternative to conventional surgery. Renal and/or visceral revascularisation enables subsequent stent-graft placement into the visceral portion of the aorta. Knowledge of the surgical procedure and a precise assessment of the vascular morphology are crucial for pre-procedural planning and for detection of post-procedural complications. Multi-detector computed tomography angiography (MDCTA) combined with two- and three-dimensional (2D and 3D) rendering is useful for pre-interventional planning and for the detection of post-procedural complications. Three-dimensional rendering allows proper anatomical analyses, influencing interventional strategies and resulting in a better outcome. With the knowledge of procedure-specific MDCTA findings in various vascular conditions, the radiologist and surgeon are able to perform an efficient pre-interventional planning and follow-up examination. Based on our experience with this novel technique of combined open and endovascular aortic aneurysm treatment, this pictorial review illustrates procedure-specific imaging findings, including common and rare complications, with respect to 2D and 3D post-processing techniques.
引用
收藏
页码:1011 / 1022
页数:12
相关论文
共 50 条
  • [31] Thoraco-abdominal aortic aneurysm rupture secondary to lymphocytic lymphoma
    Pontailler, Margaux
    Fabre, Dominique
    Hocquemiller-Khalife, Theresa
    Fadel, Elie
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2017, 24 (01) : 156 - 157
  • [32] The role of a successful analgesia plan for thoraco-abdominal aneurysm repair
    Sarridou, Despoina G.
    Boutou, Afroditi
    Mouratoglou, Sophia A.
    JOURNAL OF CARDIOVASCULAR SURGERY, 2021, 62 (06): : 653 - 654
  • [33] Fenestrated and branched endovascular techniques for thoraco-abdominal aneurysm repair
    Verhoeven, ELG
    Zeebregts, CJ
    Kapma, MR
    Tielliu, IFJ
    Prins, TR
    Van Den Dungen, JJAM
    JOURNAL OF CARDIOVASCULAR SURGERY, 2005, 46 (02): : 131 - 140
  • [34] Post-dissection Thoraco-abdominal Aortic Aneurysm Managed by Fenestrated or Branched Endovascular Aortic Repair
    Gorgatti, Filippo
    Nana, Petroula
    Panuccio, Giuseppe
    Rohlffs, Fiona
    Torrealba, Jose I.
    Koelbel, Tilo
    EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2024, 68 (03) : 325 - 334
  • [35] Cardiac tamponade in patient with giant thoraco-abdominal aortic aneurysm
    Ampollini, Luca
    Biasi, Lukla
    Bertetoot, Lauretine
    Tecchio, Tiziano
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2007, 31 (05) : 935 - 935
  • [36] Hybrid procedure in a patient with symptomatic thoraco-abdominal aneurysm and prior abdominal aortic reconstruction - case report
    Synowiec, Tomasz
    Checinski, Pawet
    Samolewski, Przemyslaw
    Zielinski, Wojciech
    Konik-Pinski, Daniel
    Kuczmarska, Angelika
    VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES, 2012, 7 (02) : 132 - 136
  • [37] Is systemic heparinization during thoraco-abdominal aneurysm repair safe?
    Kern, JA
    Ross, SD
    Tribble, CG
    Kron, IL
    CIRCULATION, 1998, 98 (17) : 338 - 338
  • [38] Thoracic Endovascular Aneurysm Repair of Thoracic/Thoraco-Abdominal Aortic Aneurysms: A Retrospective Cohort Study
    Elkalla, Ahmed M. H.
    JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2022, 235 (05) : S101 - S102
  • [39] Renal Artery Orientation Influences the Renal Outcome in Endovascular Thoraco-abdominal Aortic Aneurysm Repair
    Gallitto, Enrico
    Faggioli, Gianluca
    Pini, Rodolfo
    Mascoli, Chiara
    Ancetti, Stefano
    Abualhin, Mohammad
    Stella, Andrea
    Gargiulo, Mauro
    EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2018, 56 (03) : 382 - 390
  • [40] Normothermic iliac perfusion improves early outcomes after thoraco-abdominal aortic aneurysm repair
    Zhang, Liang
    Yu, Cuntao
    Yang, Xiubin
    Sun, Xiaogang
    Qiu, Juntao
    Jiang, Wenxiang
    Wang, De
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2019, 55 (06) : 1054 - 1060