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Sökning: onr:"swepub:oai:research.chalmers.se:dc962672-f409-4b7c-809a-e4748f242b0c" > Thoracic aortic geo...

  • Frohlich, Maxfield M.San Jose State University (författare)

Thoracic aortic geometry correlates with endograft bird-beaking severity

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2020
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:research.chalmers.se:dc962672-f409-4b7c-809a-e4748f242b0c
  • https://research.chalmers.se/publication/515552URI
  • https://research.chalmers.se/publication/515428URI
  • https://doi.org/10.1016/j.jvs.2019.11.045DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Objective: Aortic geometry has been shown to influence the development of endograft malapposition (bird-beaking) in thoracic endovascular aortic repair (TEVAR), but the extent of this relationship lacks clarity. The aim of this study was to develop a reproducible method of measuring bird-beak severity and to investigate preoperative geometry associated with bird-beaking. Methods: The study retrospectively analyzed 20 patients with thoracic aortic aneurysms or type B dissections treated with TEVAR. Computed tomography scans were used to construct three-dimensional geometric models of the preoperative and postoperative aorta and endograft. Postoperative bird-beaking was quantified with length, height, and angle; categorized into a bird-beak group (BBG; n = 10) and no bird-beak group (NBBG; n = 10) using bird-beak height ≥5 mm as a threshold; and correlated to preoperative metrics including aortic cross-sectional area, inner curvature, diameter, and inner curvature × diameter as well as graft diameter and oversizing at the proximal landing zone. Results: Aortic area (1002 ± 118 mm2 vs 834 ± 248 mm2), inner curvature (0.040 ± 0.014 mm−1 vs 0.031 ± 0.012 mm−1), and diameter (35.7 ± 2.1 mm vs 32.2 ± 4.9 mm) were not significantly different between BBG and NBBG; however, inner curvature × diameter was significantly higher in BBG (1.4 ± 0.5 vs 1.0 ± 0.3; P =.030). Inner curvature and curvature × diameter were significantly correlated with bird-beak height (R = 0.462, P =.041; R = 0.592, P =.006) and bird-beak angle (R = 0.680, P <.001; R = 0.712, P <.001). Conclusions: TEVAR bird-beak severity can be quantified and predicted with geometric modeling techniques, and the combination of high preoperative aortic inner curvature and diameter increases the risk for development of TEVAR bird-beaking.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Suh, Ga YoungThe California State University, United States (författare)
  • Bondesson, Johan,1991Chalmers tekniska högskola,Chalmers University of Technology(Swepub:cth)johbond (författare)
  • Leineweber, MatthewSan Jose State University (författare)
  • Lee, Jason T.Stanford University (författare)
  • Dake, Michael D.Stanford University (författare)
  • Cheng, ChristopherStanford University (författare)
  • The California State University, United StatesSan Jose State University (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Vascular Surgery: Elsevier BV72:4, s. 1196-12050741-52141097-6809

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