AI Article Synopsis

  • EVAR Imaging Overview
  • : Endovascular aortic repair (EVAR) involves extensive imaging before, during, and after the procedure to ensure effective planning and monitoring, with various advanced imaging techniques available.
  • Methods Utilized
  • : A literature review identified preoperative, intraoperative, and postoperative imaging techniques, including fusion imaging, intravascular ultrasounds, CT, and MR angiography, highlighting the importance of real-time imaging and newer technologies like AI.
  • Advantages and Disadvantages
  • : The review compares the benefits and drawbacks of each imaging method, discussing their implications for detecting issues such as endo-leaks during EVAR treatment.

Article Abstract

Background: Endovascular aortic repair (EVAR) requires extensive preoperative, intraoperative, and postoperative imaging for planning, surveillance, and detection of endo-leaks. There have been manyadvancements in imaging modalities to achieve this purpose. This review discussed different imaging modalities used at different stages of treatment of complex EVAR.

Methods: We conducted a literature review of all the imaging modalities utilized in EVAR by searching various databases.

Results: Preoperative techniques include analysis of images obtained via modified central line using analysis software and intravascular ultrasound. Fusion imaging (FI), carbon dioxide (CO2) angiography, intravascular ultrasound, and Fiber Optic RealShape (FORS) technology have been crucial in obtaining real-time imaging for the detection of endo-leaks during operative procedures. Conventional imaging modalities like computed tomography (CT) angiography (CTA) and magnetic resonance (MR) angiography are still employed for postoperative surveillance along with computational fluid dynamics and contrast-enhanced ultrasound (CEUS). The advancements in artificial intelligence (AI) have been the breakthrough in developing robust imaging applications.

Conclusions: This review explains the advantages, disadvantages, and side-effect profile of the abovementioned imaging modalities.

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Source
http://dx.doi.org/10.1016/j.avsg.2024.06.003DOI Listing

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