By Georg Nollert, Sabine Wich, Thomas Hartkens (auth.), Jacques Kpodonu, Stéphan Haulon (eds.)
There isn't any commonplace textbook at the present on endovascular administration of thoracic aortic pathologies. Atlas of Thoracic Aortic Endografting comprises medical case eventualities in addition to controversies to spotlight using this new know-how. some of the aortic pathologies are mentioned, combining etiology, diagnostic instruments like intravascular ultrasound (IVUS) and sixty four slice CT scans that are all cutting-edge applied sciences, endovascular remedy, administration of endoleaks, reinterventions mixed with concepts of hassle taking pictures. This booklet highlights the recent alterations within the administration of thoracic aortic diseases.
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Extra info for Atlas of Advanced Endoaortic Surgery
Cross-sectional measurements of the distal neck diameter of the aneurysm are obtained. • Cross-sectional area of the thoracic aneurysm diameter is obtained (Figs. 9a, b). • Thrombus can be detected in the aneurysm sac and the proximal and distal landing zones well-characterized. • Pullback on IVUS imaging catheter to measure length of treatment zone. • Device selection is made on the IVUS image measurements. IVUS Application to Thoracic Aortic Dissections IVUS imaging is an important tool for identifying and confirming the presence of a type A or B dissection.
2007;83:272–8. 5 Access Techniques Jacques Kpodonu and Stéphan Haulon Safe performance of abdominal and thoracic endovascular procedures requires zero tolerance for major access-related complications. Thorough preoperative planning, understanding the pathology of aortoiliac occlusive disease, advanced endovascular skills, percutaneous femoral and brachial techniques, open femoral techniques, and ability to construct an iliac conduit via a retroperitoneal approach and deployment of an endoconduit are necessary to achieve excellent results.
MIP is also a 2D analysis option for an angiographic overview, but semiautomated or complete manual editing is required to remove structural overlay. It can be useful to depict small caliber vessels and poorly enhanced vessels. Its accuracy is, however, limited in calcified vessels. Confirmation of stenosis and vessel caliber measurements should always be done with orthogonal MPR. As vessels curve in and out of the planes, standard MPRs cannot display an entire vascular territory and flow lumen in one image.