Spiral CT angiography in the assessment of abdominal aortic aneurysms after stent grafting: Value of maximum intensity projections

被引:44
作者
Dorffner, R [1 ]
Thurnher, S [1 ]
Youssefzadeh, S [1 ]
Winkelbauer, F [1 ]
Holzenbein, T [1 ]
Polterauer, P [1 ]
Lammer, J [1 ]
机构
[1] UNIV VIENNA,DEPT SURG,A-1090 VIENNA,AUSTRIA
关键词
aneurysm; aortic; grafts; stents; computed tomography; angiography;
D O I
10.1097/00004728-199705000-00025
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
Purpose: Our goal was to evaluate the value of maximum intensity projections (MIPs) rendered from spiral CT in the assessment of abdominal aortic aneurysms after stent graft implantation. Method: Spiral CT of the aorta was performed in 25 patients 1 week after implantation of covered aortic stent grafts. MIPs were evaluated in a blinded fashion. Transaxial scans and intravenous angiographs were considered the reference standard. Results: Stent deformity was evident on the MIPs in 5 cases and stent angulation was seen in 24 cases. The excluded aneurysmal sac was visualized in 14 (50%) cases. MIPs depicted the patent inferior mesenteric artery in 20 of 23 cases (87%). Renal artery occlusion (n = 3), leaks (n = 8), and parietal thrombi (n = 3) were detected on the MIPs in all cases. Conclusion: MIPs are a valuable tool in the assessment of aortic stent grafts.
引用
收藏
页码:472 / 477
页数:6
相关论文
共 13 条
[1]   Abdominal aortic aneurysms: Preliminary technical and clinical results with transfemoral placement of endovascular self-expanding stent-grafts [J].
Blum, U ;
Langer, M ;
Spillner, G ;
Mialhe, C ;
Beyersdorf, F ;
BuitragoTellez, C ;
Voshage, G ;
Duber, C ;
Schlosser, V ;
Cragg, AH .
RADIOLOGY, 1996, 198 (01) :25-31
[2]  
BLUM VU, 1996, ROFO FORTSCHR RONTG, V1, P47
[3]  
DORFFNER R, 1995, CARDIOVASC INTERVENT, V19, P117
[4]  
DUBER VC, 1996, ROFO FORTSCHR RONTG, V1, P55
[5]   Infrarenal abdominal aortic aneurysms: Implications of CT evaluation of size and configuration for placement of endovascular aortic grafts [J].
Moritz, JD ;
Rotermund, S ;
Keating, DP ;
Oestmann, JW .
RADIOLOGY, 1996, 198 (02) :463-466
[6]   Aortoiliac aneurysms: Management with endovascular stent-graft placement [J].
Murphy, KD ;
Richter, GM ;
Henry, M ;
Encarnacion, CE ;
Le, VA ;
Palmaz, JC .
RADIOLOGY, 1996, 198 (02) :473-480
[7]   ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC-ANEURYSMS AND OTHER ARTERIAL LESIONS [J].
PARODI, JC .
JOURNAL OF VASCULAR SURGERY, 1995, 21 (04) :549-557
[8]   ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC-ANEURYSM - VALUE OF POSTOPERATIVE FOLLOW-UP WITH HELICAL CT [J].
ROZENBLIT, A ;
MARIN, ML ;
VEITH, FJ ;
CYNAMON, J ;
WAHL, SI ;
BAKAL, CW .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1995, 165 (06) :1473-1479
[9]   3-DIMENSIONAL HELICAL CT ANGIOGRAPHY [J].
RUBIN, GD .
RADIOGRAPHICS, 1994, 14 (04) :905-912
[10]   3-DIMENSIONAL SPIRAL COMPUTED TOMOGRAPHIC ANGIOGRAPHY - AN ALTERNATIVE IMAGING MODALITY FOR THE ABDOMINAL-AORTA AND ITS BRANCHES [J].
RUBIN, GD ;
WALKER, PJ ;
DAKE, MD ;
NAPEL, S ;
JEFFREY, RB ;
MCDONNELL, CH ;
MITCHELL, RS ;
MILLER, DC .
JOURNAL OF VASCULAR SURGERY, 1993, 18 (04) :656-665