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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-21123

Krauss, T; Pfammatter, T; Mayer, D; Lachat, M; Hechelhammer, L; Marincek, B; Frauenfelder, T (2010). Hybrid-repair of thoraco-abdominal or juxtarenal aortic aneurysm: what the radiologist should know. European Radiology, 20(4):1011-1022.

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Abstract

PURPOSE: 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. 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. RESULTS: 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. CONCLUSIONS: 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.

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
DDC:610 Medicine & health
Language:English
Date:2010
Deposited On:07 Oct 2009 10:37
Last Modified:27 Nov 2013 17:31
Publisher:Springer
ISSN:0938-7994
Additional Information:The original publication is available at www.springerlink.com
Publisher DOI:10.1007/s00330-009-1603-3
PubMed ID:19789882
Citations:Web of Science®
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