AI Article Synopsis
- Dynamic aortic evaluation using dynamic imaging methods is crucial for accurate stent graft sizing in thoracic endovascular aortic repair (TEVAR), as traditional static imaging may result in complications.
- Dynamic imaging techniques like ECG-gated CTA and 4D PC-MRI are being researched and increasingly used in clinical settings to enhance preoperative planning and monitor graft performance post-surgery.
- Collaboration across fields, such as engineering and medicine, is key to developing new imaging technologies that could improve patient outcomes in TEVAR over time.
Article Abstract
Dynamic aortic evaluation in planning thoracic endovascular aortic repair (TEVAR) is important to provide optimal stent graft sizing. Static imaging protocols do not consider normal aortic dynamics and may lead to stent graft to aorta mismatch, causing stent graft related complications, such as type I endoleak and stent graft migration. Dynamic imaging can assist in accurate stent graft selection and sizing preoperatively, and evaluate stent graft performance during follow-up. To create new imaging technologies, integration of knowledge between diverse scientific fields is essential (i.e., engineering, informatics and medicine). Different dynamic imaging modalities, such as electrocardiographic-gated computed tomography angiography (ECG-gated CTA) and four-dimensional phase-contrast MRI (4D PC-MRI), are progressively investigated and implemented into clinical practice as important instruments in preoperative planning for TEVAR. In time, further application of dynamic imaging tools for preoperative screening and follow-up after TEVAR might lead to better outcomes for patients. The advances in dynamic imaging for evaluation of the thoracic aorta using new imaging modalities and their future perspectives are addressed in this manuscript.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052412 | PMC |
| http://dx.doi.org/10.3978/j.issn.2225-319X.2014.04.05 | DOI Listing |
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