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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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|
|Deposited On:||07 Oct 2009 10:37|
|Last Modified:||23 Nov 2012 17:46|
|Additional Information:||The original publication is available at www.springerlink.com|
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