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Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair
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| Zeitschriftentitel: | Journal of the American Heart Association |
|---|---|
| Personen und Körperschaften: | , , , , , , |
| In: | Journal of the American Heart Association, 8, 2019, 8 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Ovid Technologies (Wolters Kluwer Health)
|
| Schlagwörter: |
| author_facet |
Hou, Kai Zhu, Ting Zhang, Wei Zeng, Mengsu Guo, Daqiao Fu, Weiguo Si, Yi Hou, Kai Zhu, Ting Zhang, Wei Zeng, Mengsu Guo, Daqiao Fu, Weiguo Si, Yi |
|---|---|
| author |
Hou, Kai Zhu, Ting Zhang, Wei Zeng, Mengsu Guo, Daqiao Fu, Weiguo Si, Yi |
| spellingShingle |
Hou, Kai Zhu, Ting Zhang, Wei Zeng, Mengsu Guo, Daqiao Fu, Weiguo Si, Yi Journal of the American Heart Association Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair Cardiology and Cardiovascular Medicine |
| author_sort |
hou, kai |
| spelling |
Hou, Kai Zhu, Ting Zhang, Wei Zeng, Mengsu Guo, Daqiao Fu, Weiguo Si, Yi 2047-9980 Ovid Technologies (Wolters Kluwer Health) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/jaha.119.012011 <jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en"> The aim of this study was to assess the feasibility and safety of dynamic volumetric computed tomography angiography ( <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> ) for endoleaks detected but not classified by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> in patients after endovascular aortic repair. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> From January 2016 to October 2017, 24 patients with endoleaks with aneurysm sac enlargement detected but not classified by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> were randomly assigned to the conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> group and the <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> group for further evaluation. The amount of contrast agent, radiation dosage, and changes in creatinine during the operation were compared between the 2 groups. Reintervention was performed according to the endoleak classification followed by the 6‐ and 12‐month follow‐up. The accuracy of classifying endoleaks by <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> was comparable to that by digital subtraction angiography. Additionally, the total amount of contrast agent and the radiation dosage in the <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> group during the operation were diminished by 14.0% ( <jats:italic>P</jats:italic> =0.007) and 12.1% ( <jats:italic>P</jats:italic> =0.004), respectively, compared with those in the conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> group. No contrast‐induced nephropathy was observed. All endoleaks were treated instantly after identification. No endoleaks were found in any of the patients during follow‐up. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en"> <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> could replace digital subtraction angiography as an alternative method for the classification of endoleaks that cannot be differentiated by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> . Additionally, the amount of contrast agent and the total radiation dosage were substantially reduced, which improved safety among operators and patients. </jats:p> </jats:sec> Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair Journal of the American Heart Association |
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Ovid Technologies (Wolters Kluwer Health), 2019 |
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Ovid Technologies (Wolters Kluwer Health), 2019 |
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2019 |
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Ovid Technologies (Wolters Kluwer Health) |
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Journal of the American Heart Association |
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| title |
Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_unstemmed |
Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_full |
Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_fullStr |
Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_full_unstemmed |
Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_short |
Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_sort |
dynamic volumetric computed tomography angiography is a preferred method for unclassified endoleaks by conventional computed tomography angiography after endovascular aortic repair |
| topic |
Cardiology and Cardiovascular Medicine |
| url |
http://dx.doi.org/10.1161/jaha.119.012011 |
| publishDate |
2019 |
| physical |
|
| description |
<jats:sec xml:lang="en">
<jats:title>Background</jats:title>
<jats:p xml:lang="en">
The aim of this study was to assess the feasibility and safety of dynamic volumetric computed tomography angiography (
<jats:styled-content style="fixed-case">DV</jats:styled-content>
‐
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
) for endoleaks detected but not classified by conventional
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
in patients after endovascular aortic repair.
</jats:p>
</jats:sec>
<jats:sec xml:lang="en">
<jats:title>Methods and Results</jats:title>
<jats:p xml:lang="en">
From January 2016 to October 2017, 24 patients with endoleaks with aneurysm sac enlargement detected but not classified by conventional
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
were randomly assigned to the conventional
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
group and the
<jats:styled-content style="fixed-case">DV</jats:styled-content>
‐
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
group for further evaluation. The amount of contrast agent, radiation dosage, and changes in creatinine during the operation were compared between the 2 groups. Reintervention was performed according to the endoleak classification followed by the 6‐ and 12‐month follow‐up. The accuracy of classifying endoleaks by
<jats:styled-content style="fixed-case">DV</jats:styled-content>
‐
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
was comparable to that by digital subtraction angiography. Additionally, the total amount of contrast agent and the radiation dosage in the
<jats:styled-content style="fixed-case">DV</jats:styled-content>
‐
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
group during the operation were diminished by 14.0% (
<jats:italic>P</jats:italic>
=0.007) and 12.1% (
<jats:italic>P</jats:italic>
=0.004), respectively, compared with those in the conventional
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
group. No contrast‐induced nephropathy was observed. All endoleaks were treated instantly after identification. No endoleaks were found in any of the patients during follow‐up.
</jats:p>
</jats:sec>
<jats:sec xml:lang="en">
<jats:title>Conclusions</jats:title>
<jats:p xml:lang="en">
<jats:styled-content style="fixed-case">DV</jats:styled-content>
‐
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
could replace digital subtraction angiography as an alternative method for the classification of endoleaks that cannot be differentiated by conventional
<jats:styled-content style="fixed-case">CTA</jats:styled-content>
. Additionally, the amount of contrast agent and the total radiation dosage were substantially reduced, which improved safety among operators and patients.
</jats:p>
</jats:sec> |
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| description | <jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en"> The aim of this study was to assess the feasibility and safety of dynamic volumetric computed tomography angiography ( <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> ) for endoleaks detected but not classified by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> in patients after endovascular aortic repair. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> From January 2016 to October 2017, 24 patients with endoleaks with aneurysm sac enlargement detected but not classified by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> were randomly assigned to the conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> group and the <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> group for further evaluation. The amount of contrast agent, radiation dosage, and changes in creatinine during the operation were compared between the 2 groups. Reintervention was performed according to the endoleak classification followed by the 6‐ and 12‐month follow‐up. The accuracy of classifying endoleaks by <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> was comparable to that by digital subtraction angiography. Additionally, the total amount of contrast agent and the radiation dosage in the <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> group during the operation were diminished by 14.0% ( <jats:italic>P</jats:italic> =0.007) and 12.1% ( <jats:italic>P</jats:italic> =0.004), respectively, compared with those in the conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> group. No contrast‐induced nephropathy was observed. All endoleaks were treated instantly after identification. No endoleaks were found in any of the patients during follow‐up. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en"> <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> could replace digital subtraction angiography as an alternative method for the classification of endoleaks that cannot be differentiated by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> . Additionally, the amount of contrast agent and the total radiation dosage were substantially reduced, which improved safety among operators and patients. </jats:p> </jats:sec> |
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| spelling | Hou, Kai Zhu, Ting Zhang, Wei Zeng, Mengsu Guo, Daqiao Fu, Weiguo Si, Yi 2047-9980 Ovid Technologies (Wolters Kluwer Health) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/jaha.119.012011 <jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en"> The aim of this study was to assess the feasibility and safety of dynamic volumetric computed tomography angiography ( <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> ) for endoleaks detected but not classified by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> in patients after endovascular aortic repair. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> From January 2016 to October 2017, 24 patients with endoleaks with aneurysm sac enlargement detected but not classified by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> were randomly assigned to the conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> group and the <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> group for further evaluation. The amount of contrast agent, radiation dosage, and changes in creatinine during the operation were compared between the 2 groups. Reintervention was performed according to the endoleak classification followed by the 6‐ and 12‐month follow‐up. The accuracy of classifying endoleaks by <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> was comparable to that by digital subtraction angiography. Additionally, the total amount of contrast agent and the radiation dosage in the <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> group during the operation were diminished by 14.0% ( <jats:italic>P</jats:italic> =0.007) and 12.1% ( <jats:italic>P</jats:italic> =0.004), respectively, compared with those in the conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> group. No contrast‐induced nephropathy was observed. All endoleaks were treated instantly after identification. No endoleaks were found in any of the patients during follow‐up. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en"> <jats:styled-content style="fixed-case">DV</jats:styled-content> ‐ <jats:styled-content style="fixed-case">CTA</jats:styled-content> could replace digital subtraction angiography as an alternative method for the classification of endoleaks that cannot be differentiated by conventional <jats:styled-content style="fixed-case">CTA</jats:styled-content> . Additionally, the amount of contrast agent and the total radiation dosage were substantially reduced, which improved safety among operators and patients. </jats:p> </jats:sec> Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair Journal of the American Heart Association |
| spellingShingle | Hou, Kai, Zhu, Ting, Zhang, Wei, Zeng, Mengsu, Guo, Daqiao, Fu, Weiguo, Si, Yi, Journal of the American Heart Association, Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair, Cardiology and Cardiovascular Medicine |
| title | Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_full | Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_fullStr | Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_full_unstemmed | Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_short | Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| title_sort | dynamic volumetric computed tomography angiography is a preferred method for unclassified endoleaks by conventional computed tomography angiography after endovascular aortic repair |
| title_unstemmed | Dynamic Volumetric Computed Tomography Angiography Is a Preferred Method for Unclassified Endoleaks by Conventional Computed Tomography Angiography After Endovascular Aortic Repair |
| topic | Cardiology and Cardiovascular Medicine |
| url | http://dx.doi.org/10.1161/jaha.119.012011 |