[Application of multi-slice spiral CT angiography after endoluminal exclusion of aortic diseases].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao

Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Published: February 2006

AI Article Synopsis

  • The study investigates the use of multi-slice spiral CT angiography (MSCTA) for evaluating post-surgical outcomes in patients with aortic dissection and aneurysms.
  • MSCTA was performed on 19 patients after endoluminal treatments, revealing complications such as thrombus formation and endo-leaks.
  • The findings indicate that MSCTA is an effective and objective method for assessing the results of endovascular aortic disease interventions.

Article Abstract

Objective: To study the application of multi-slice spiral CT angiography (MSCTA) after endoluminal exclusion of aortic diseases.

Methods: 16-slice CT angiography was performed in 15 patients with aortic dissection and 4 patients with aortic aneurysm after endovascular exclusion. Two observers analysed the images and interpreted the outcomes and complications after endovascular exclusions of aortic dissection and aortic aneurysm.

Results: In 19 patients, thrombus was found in all the false lumens of aortic dissection and the outer-stent cavity of aortic aneurysm. However, one patient with aortic aneurysm graft thrombosis; 4 patients had endo-leak (3 with type I endo-leak, 1 with type III endo-leak complicating graft deformation); one achieved perfusion recovery, and one experienced thrombolysis of superior mesenteric artery.

Conclusion: MSCTA can be an objective tool for the post-operative evaluation of endovascular exclusion of aortic diseases.

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