Presentation is loading. Please wait.

Presentation is loading. Please wait.

Computed tomography-based anatomic characterization of proximal aortic dissection with consideration for endovascular candidacy  Michael C. Moon, MD,

Published byPaulina Long Modified over 5 years ago

Similar presentations

Presentation on theme: "Computed tomography-based anatomic characterization of proximal aortic dissection with consideration for endovascular candidacy  Michael C. Moon, MD,"— Presentation transcript:

1 Computed tomography-based anatomic characterization of proximal aortic dissection with consideration for endovascular candidacy  Michael C. Moon, MD, Roy K. Greenberg, MD, Jose P. Morales, MD, Zenia Martin, MD, Qingsheng Lu, MD, Joseph F. Dowdall, MD, Adrian V. Hernandez, MD, PhD  Journal of Vascular Surgery  Volume 53, Issue 4, Pages (April 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Top row, A centerline reconstruction and (bottom row) orthogonal planes of a patient with a proximal reconstruction highlighting the various measurements recorded. The orthogonal plane refers to a plane perpendicular to the centerline at any point. Panel a demonstrates the aortic annulus in both a centerline reconstruction (red arrow) and orthogonal plane. Panel b similarly demonstrates the coronary arteries (red arrows), and Panel c shows the sinotubular junction (red arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Schematic of aortic root and ascending aorta demonstrates the location of the aortic annulus, the sinuses of Valsalva, the sinotubular junction, and the distal ascending aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Flow chart shows the distribution of patients presenting with diagnoses of proximal aortic dissection to the Cleveland Clinic Foundation (CCF) between January 2004 and December 2006 based on clinical history and preoperative diagnostic assessment. CT, Computed tomography; MRI, magnetic resonance imaging; STJ, sinotubular junction. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

5 Fig 4 The location of the intimal fenestration is plotted as the distance from the sinotubular junction (STJ) in millimeters. The point of the sinotubular junction is set at 0 mm, thus negative values represent intimal fenestrations within the aortic root. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

6 Fig 5 The aorta was subdivided into quarters: greater curvature, lesser curvature, anterior, and posterior. Intimal fenestrations were identified as being proximal to the sinotubular junction (blue) or distal (purple). Most of the intimal fenestrations were located on the greater curvature. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

7 Fig 6 A scatter plot shows the diameter vs length of the ascending aorta diameter at the sinotubular junction (STJ) and distal ascending aorta levels. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

8 Fig 7 A scatter plot shows the location of the intimal fenestration vs the diameter of the sinotubular junction (STJ). The distance of the intimal fenestration is represented in millimeters relative to the STJ (x axis), and the diameter of the STJ junction is shown on the y axis in millimeters. The dashed lines on the x axis at +10 mm distal to the STJ and at 38 mm on the y axis represent the minimum distance required to have a proximal landing zone and the maximum aortic size based on available stent grafts, respectively. The lower right hand corner represents the potential cases identified by computed tomography that may be amenable to a stent graft repair of a proximal aortic dissection based on anatomic characteristics. Patients in the upper and lower left quadrants have unfavorable anatomy based on the location of the intimal fenestration, that is, <10 mm from the STJ or within the aortic root (proximal to the STJ). Patients located in the upper right quadrant are identified as having an intimal fenestration >10 mm from the STJ, but the aortic diameter is excessively large. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Download ppt "Computed tomography-based anatomic characterization of proximal aortic dissection with consideration for endovascular candidacy  Michael C. Moon, MD,"

Similar presentations

The mechanical role of thrombus on the growth rate of an abdominal aortic aneurysm  Lambert Speelman, MSc, Geert Willem H. Schurink, PhD, MD, E. Marielle.

The mechanical role of thrombus on the growth rate of an abdominal aortic aneurysm  Lambert Speelman, MSc, Geert Willem H. Schurink, PhD, MD, E. Marielle.
A new staged hybrid total arch repair procedure using a branched proximal elephant trunk technique with implantation of stent grafts to the ascending.

A new staged hybrid total arch repair procedure using a branched proximal elephant trunk technique with implantation of stent grafts to the ascending.
The impact of bird-beak configuration on aortic remodeling of distal arch pathology after thoracic endovascular aortic repair with the Zenith Pro-Form.

The impact of bird-beak configuration on aortic remodeling of distal arch pathology after thoracic endovascular aortic repair with the Zenith Pro-Form.
Ultrasound-determined diameter measurements are more accurate than axial computed tomography after endovascular aortic aneurysm repair  Sukgu M. Han,

Ultrasound-determined diameter measurements are more accurate than axial computed tomography after endovascular aortic aneurysm repair  Sukgu M. Han,
Annual rupture risk of abdominal aortic aneurysm enlargement without detectable endoleak after endovascular abdominal aortic repair  Dave Koole, MD, Frans.

Annual rupture risk of abdominal aortic aneurysm enlargement without detectable endoleak after endovascular abdominal aortic repair  Dave Koole, MD, Frans.
Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,

Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,
The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture  Felix J.V. Schlösser, MD, PhD, John E. Aruny,

The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture  Felix J.V. Schlösser, MD, PhD, John E. Aruny,
Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft  Naoki Toya, MD, PhD, Takao Ohki, MD,

Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft  Naoki Toya, MD, PhD, Takao Ohki, MD,
Revised duplex criteria and outcomes for renal stents and stent grafts following endovascular repair of juxtarenal and thoracoabdominal aneurysms  Walid.

Revised duplex criteria and outcomes for renal stents and stent grafts following endovascular repair of juxtarenal and thoracoabdominal aneurysms  Walid.
Elisabeth Schwierz, MD, Ralf R

Elisabeth Schwierz, MD, Ralf R
Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients  Joseph.

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients  Joseph.
Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.

Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.
A new imaging method for assessment of aortic dissection using four-dimensional phase contrast magnetic resonance imaging  Rachel E. Clough, MBBS, BSc,

A new imaging method for assessment of aortic dissection using four-dimensional phase contrast magnetic resonance imaging  Rachel E. Clough, MBBS, BSc,
Thoracic aortic lesions treated with the Zenith TX1 and TX2 thoracic devices: Intermediate- and long-term outcomes  Jose P. Morales, MD, Roy K. Greenberg,

Thoracic aortic lesions treated with the Zenith TX1 and TX2 thoracic devices: Intermediate- and long-term outcomes  Jose P. Morales, MD, Roy K. Greenberg,
Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm  Ludovic.

Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm  Ludovic.
Stereotactic endovascular aortic navigation with a novel ultrasonic-based three- dimensional localization system  Jay C. Mung, PhD, ShihYau Grace Huang,

Stereotactic endovascular aortic navigation with a novel ultrasonic-based three- dimensional localization system  Jay C. Mung, PhD, ShihYau Grace Huang,
An evaluation of centerline of flow measurement techniques to assess migration after thoracic endovascular aneurysm repair  Sean O’Neill, MD, Roy K. Greenberg,

An evaluation of centerline of flow measurement techniques to assess migration after thoracic endovascular aneurysm repair  Sean O’Neill, MD, Roy K. Greenberg,
Impact on outcomes by measuring tortuosity with reporting standards for thoracic endovascular aortic repair  Chun-Ku Chen, MD, I-Ping Liang, MD, Hsiao-Ting.

Impact on outcomes by measuring tortuosity with reporting standards for thoracic endovascular aortic repair  Chun-Ku Chen, MD, I-Ping Liang, MD, Hsiao-Ting.
Supra-aortic vessels aneurysms: Diagnosis and prompt intervention

Supra-aortic vessels aneurysms: Diagnosis and prompt intervention
The mechanical role of thrombus on the growth rate of an abdominal aortic aneurysm  Lambert Speelman, MSc, Geert Willem H. Schurink, PhD, MD, E. Marielle.

The mechanical role of thrombus on the growth rate of an abdominal aortic aneurysm  Lambert Speelman, MSc, Geert Willem H. Schurink, PhD, MD, E. Marielle.

Similar presentations

Ads by Google