Importance of Dynamic Aortic Evaluation in Planning TEVAR

Overview

Journal Ann Cardiothorac Surg

Publisher AME Publishing Company

Date 2014 Jun 27

PMID 24967170

Citations 5

Authors

Guido H W van Bogerijen

Joost A van Herwaarden

Michele Conti

Ferdinando Auricchio

Vincenzo Rampoldi

Santi Trimarchi

Frans L Moll

Affiliations

Soon will be listed here.

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.

Citing Articles

Dynamic Changes in the Aorta During the Cardiac Cycle Analyzed by ECG-Gated Computed Tomography.

Zhu W, Wang Y, Chen Y, Liu J, Zhou C, Shi Q Front Cardiovasc Med. 2022; 9:793722.

PMID: 35665265 PMC: 9160308. DOI: 10.3389/fcvm.2022.793722.

Contemporary imaging methods for the follow-up after endovascular abdominal aneurysm repair: a review.

Kazimierczak W, Serafin Z, Kazimierczak N, Ratajczak P, Leszczynski W, Bryl L Wideochir Inne Tech Maloinwazyjne. 2019; 14(1):1-11.

PMID: 30766622 PMC: 6372875. DOI: 10.5114/wiitm.2018.78973.

Hemodynamic changes lead to alterations in aortic diameters and may challenge further stent graft sizing in acute aortic syndrome.

Lortz J, Tsagakis K, Rammos C, Lind A, Schlosser T, Jakob H J Thorac Dis. 2018; 10(6):3482-3489.

PMID: 30069344 PMC: 6051793. DOI: 10.21037/jtd.2018.05.188.

Surveillance Imaging Following Endovascular Aneurysm Repair.

Pandey N, Litt H Semin Intervent Radiol. 2015; 32(3):239-48.

PMID: 26327742 PMC: 4540620. DOI: 10.1055/s-0035-1556878.

Outcomes of Patients With Acute Type B (DeBakey III) Aortic Dissection: A 13-Year, Single-Center Experience.

Afifi R, Sandhu H, Leake S, Boutrous M, Kumar 3rd V, Azizzadeh A Circulation. 2015; 132(8):748-54.

PMID: 26304666 PMC: 4548541. DOI: 10.1161/CIRCULATIONAHA.115.015302.

References

Clough R, Waltham M, Giese D, Taylor P, Schaeffter T . A new imaging method for assessment of aortic dissection using four-dimensional phase contrast magnetic resonance imaging. J Vasc Surg. 2012; 55(4):914-23. DOI: 10.1016/j.jvs.2011.11.005. View

Willemink M, Habets J, de Jong P, Schilham A, Mali W, Leiner T . Iterative reconstruction improves evaluation of native aortic and mitral valves by retrospectively ECG-gated thoracoabdominal CTA. Eur Radiol. 2012; 23(4):968-74. DOI: 10.1007/s00330-012-2673-1. View

Chen D, Muller-Eschner M, Kotelis D, Bockler D, Ventikos Y, von Tengg-Kobligk H . A longitudinal study of Type-B aortic dissection and endovascular repair scenarios: computational analyses. Med Eng Phys. 2013; 35(9):1321-30. DOI: 10.1016/j.medengphy.2013.02.006. View

van Herwaarden J, Bartels L, Muhs B, Vincken K, Lindeboom M, Teutelink A . Dynamic magnetic resonance angiography of the aneurysm neck: conformational changes during the cardiac cycle with possible consequences for endograft sizing and future design. J Vasc Surg. 2006; 44(1):22-8. DOI: 10.1016/j.jvs.2006.03.028. View

Figueroa C, Taylor C, Chiou A, Yeh V, Zarins C . Magnitude and direction of pulsatile displacement forces acting on thoracic aortic endografts. J Endovasc Ther. 2009; 16(3):350-8. PMC: 2793566. DOI: 10.1583/09-2738.1. View

van der Laan M, Bakker C, Blankensteijn J, Bartels L . Dynamic CE-MRA for endoleak classification after endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2005; 31(2):130-5. DOI: 10.1016/j.ejvs.2005.08.014. View

Lam S, Fung G, Cheng S, Chow K . A computational study on the biomechanical factors related to stent-graft models in the thoracic aorta. Med Biol Eng Comput. 2008; 46(11):1129-38. DOI: 10.1007/s11517-008-0361-8. View

Nitz W, Bradley Jr W, Watanabe A, Lee R, Burgoyne B, OSullivan R . Flow dynamics of cerebrospinal fluid: assessment with phase-contrast velocity MR imaging performed with retrospective cardiac gating. Radiology. 1992; 183(2):395-405. DOI: 10.1148/radiology.183.2.1561340. View

Prasad A, To L, Gorrepati M, Zarins C, Figueroa C . Computational analysis of stresses acting on intermodular junctions in thoracic aortic endografts. J Endovasc Ther. 2011; 18(4):559-68. PMC: 3163409. DOI: 10.1583/11-3472.1. View

10.

Wood N, Weston S, Kilner P, Gosman A, Firmin D . Combined MR imaging and CFD simulation of flow in the human descending aorta. J Magn Reson Imaging. 2001; 13(5):699-713. DOI: 10.1002/jmri.1098. View

11.

Muhs B, Vincken K, van Prehn J, Stone M, Bartels L, Prokop M . Dynamic cine-CT angiography for the evaluation of the thoracic aorta; insight in dynamic changes with implications for thoracic endograft treatment. Eur J Vasc Endovasc Surg. 2006; 32(5):532-6. DOI: 10.1016/j.ejvs.2006.05.009. View

12.

van Keulen J, van Prehn J, Prokop M, Moll F, van Herwaarden J . Dynamics of the aorta before and after endovascular aneurysm repair: a systematic review. Eur J Vasc Endovasc Surg. 2009; 38(5):586-96. DOI: 10.1016/j.ejvs.2009.06.018. View

13.

Rutgers D, Blankensteijn J, van der Grond J . Preoperative MRA flow quantification in CEA patients: flow differences between patients who develop cerebral ischemia and patients who do not develop cerebral ischemia during cross-clamping of the carotid artery. Stroke. 2000; 31(12):3021-8. DOI: 10.1161/01.str.31.12.3021. View

14.

Ming Tse K, Chiu P, Lee H, Ho P . Investigation of hemodynamics in the development of dissecting aneurysm within patient-specific dissecting aneurismal aortas using computational fluid dynamics (CFD) simulations. J Biomech. 2011; 44(5):827-36. DOI: 10.1016/j.jbiomech.2010.12.014. View

15.

Taylor C, Figueroa C . Patient-specific modeling of cardiovascular mechanics. Annu Rev Biomed Eng. 2009; 11:109-34. PMC: 4581431. DOI: 10.1146/annurev.bioeng.10.061807.160521. View

16.

van Prehn J, Vincken K, Muhs B, Barwegen G, Bartels L, Prokop M . Toward endografting of the ascending aorta: insight into dynamics using dynamic cine-CTA. J Endovasc Ther. 2007; 14(4):551-60. DOI: 10.1177/152660280701400418. View

17.

Midulla M, Moreno R, Baali A, Chau M, Negre-Salvayre A, Nicoud F . Haemodynamic imaging of thoracic stent-grafts by computational fluid dynamics (CFD): presentation of a patient-specific method combining magnetic resonance imaging and numerical simulations. Eur Radiol. 2012; 22(10):2094-102. DOI: 10.1007/s00330-012-2465-7. View

18.

Hyodoh H, Kawaharada N, Akiba H, Tamakawa M, Hyodoh K, Fukada J . Usefulness of preoperative detection of artery of Adamkiewicz with dynamic contrast-enhanced MR angiography. Radiology. 2005; 236(3):1004-9. DOI: 10.1148/radiol.2363040911. View

19.

Laskowski I, Verhagen H, Gagne P, Moll F, Muhs B . Current state of dynamic imaging in endovascular aortic aneurysm repair. J Endovasc Ther. 2007; 14(6):807-12. DOI: 10.1583/07-2116.1. View

20.

Saber N, Wood N, Gosman A, Merrifield R, Yang G, Charrier C . Progress towards patient-specific computational flow modeling of the left heart via combination of magnetic resonance imaging with computational fluid dynamics. Ann Biomed Eng. 2003; 31(1):42-52. DOI: 10.1114/1.1533073. View