دورية أكاديمية
Dynamic Morphology of the Ascending Aorta and Its Implications for Proximal Landing in Thoracic Endovascular Aortic Repair.
| العنوان: | Dynamic Morphology of the Ascending Aorta and Its Implications for Proximal Landing in Thoracic Endovascular Aortic Repair. |
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| المؤلفون: | Skrypnik D; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany., Ante M; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany., Meisenbacher K; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany., Kronsteiner D; Institute of Medical Biometry and Informatics, University of Heidelberg, 69117 Heidelberg, Germany., Hagedorn M; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany., Rengier F; Clinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, 69120 Heidelberg, Germany., Andre F; Clinic for Cardiology, Angiology and Pneumology, University Hospital Heidelberg, 69120 Heidelberg, Germany., Frey N; Clinic for Cardiology, Angiology and Pneumology, University Hospital Heidelberg, 69120 Heidelberg, Germany., Böckler D; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany., Bischoff MS; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany. |
| المصدر: | Journal of clinical medicine [J Clin Med] 2022 Dec 21; Vol. 12 (1). Date of Electronic Publication: 2022 Dec 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI AG, [2012]- |
| مستخلص: | In this study, we assessed the dynamic segmental anatomy of the entire ascending aorta (AA), enabling the determination of a favorable proximal landing zone and appropriate aortic sizing for the most proximal thoracic endovascular aortic repair (TEVAR). Methods: Patients with a non-operated AA (diameter < 40 mm) underwent electrocardiogram-gated computed tomography angiography (ECG-CTA) of the entire AA in the systolic and diastolic phases. For each plane of each segment, the maximum and minimum diameters in the systole and diastole phases were recorded. The Wilcoxon signed-rank test was used to compare aortic size values. Results: A total of 100 patients were enrolled (53% male; median age 82.1 years; age range 76.8−85.1). Analysis of the dynamic plane dimensions of the AA during the cardiac cycle showed significantly higher systolic values than diastolic values (p < 0.001). Analysis of the proximal AA segment showed greater distal plane values than proximal plane values (p < 0.001), showing a reversed funnel form. At the mid-ascending segment, the dynamic values did not notably differ between the distal plane and the proximal segmental plane, demonstrating a cylindrical form. At the distal segment of the AA, the proximal plane values were larger than the distal segmental plane values (p < 0.001), thus generating a funnel form. Conclusions: The entire AA showed greater systolic than diastolic aortic dimensions throughout the cardiac cycle. The mid-ascending and distal-ascending segments showed favorable forms for TEVAR using a regular cylindrical endograft design. The most proximal segment of the AA showed a pronounced conical form; therefore, a specific endograft design should be considered. |
| References: | Vasc Health Risk Manag. 2022 Mar 08;18:117-122. (PMID: 35300364) Eur J Radiol. 2012 Jan;81(1):158-64. (PMID: 20850234) J Cardiovasc Magn Reson. 2012 Nov 14;14:77. (PMID: 23151055) J Vasc Surg. 2018 Jan;67(1):332-342. (PMID: 28844469) J Endovasc Ther. 2020 Jun;27(3):368-376. (PMID: 32242769) Ann Vasc Surg. 2017 Jan;38:227-232. (PMID: 27522983) J Vasc Surg. 2017 Dec;66(6):1686-1695. (PMID: 28583728) J Endovasc Ther. 2016 Aug;23(4):620-5. (PMID: 27170148) J Vasc Surg. 2015 Jun;61(6):1383-90.e1. (PMID: 25735260) Ann Vasc Surg. 2016 Aug;35:168-73. (PMID: 27263817) Int J Cardiovasc Imaging. 2011 Dec;27(8):1195-204. (PMID: 21359833) BMC Cardiovasc Disord. 2018 May 2;18(1):76. (PMID: 29720088) Eur J Cardiothorac Surg. 2019 Jan 1;55(1):133-162. (PMID: 30312382) J Vasc Surg. 2022 May;75(5):1561-1569. (PMID: 34973400) Ann Vasc Surg. 2020 Jan;62:173-182. (PMID: 31394211) J Vasc Surg. 2004 Jan;39(1):20-6. (PMID: 14718806) Hypertension. 2010 Feb;55(2):319-26. (PMID: 20065154) J Endovasc Ther. 2007 Aug;14(4):551-60. (PMID: 17696632) J Endovasc Ther. 2022 Jul 12;:15266028221109455. (PMID: 35822261) J Vasc Surg. 2020 Dec;72(6):1883-1890. (PMID: 32289436) Eur J Radiol. 2009 Dec;72(3):483-8. (PMID: 18805663) Eur J Vasc Endovasc Surg. 2006 Nov;32(5):532-6. (PMID: 16798028) J Endovasc Ther. 2022 May 19;:15266028221095018. (PMID: 35587698) J Vasc Surg. 2017 Nov;66(5):1587-1601. (PMID: 28830707) J Endovasc Ther. 2019 Aug;26(4):439-445. (PMID: 31140362) Eur Radiol. 2009 Jan;19(1):245-53. (PMID: 18648819) BMC Cardiovasc Disord. 2018 Jul 31;18(1):154. (PMID: 30064358) |
| فهرسة مساهمة: | Keywords: TEVAR of ascending aorta; dynamic morphology of ascending aorta; endograft of ascending aorta; landing zone morphology; thoracic endovascular aortic repair |
| تواريخ الأحداث: | Date Created: 20230108 Latest Revision: 20230308 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC9821435 |
| DOI: | 10.3390/jcm12010070 |
| PMID: | 36614871 |
| قاعدة البيانات: | MEDLINE |
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