ArticleEJVES short reports2017
3D Image Fusion to Localise Intercostal Arteries During TEVAR.
Article in EJVES short reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- Multimodal image fusion guidance for the treatment of structural heart disease and aortic dissection in hybrid operation room: a single-center case series in a hybrid operating room.Quantitative imaging in medicine and surgery · 2025Article
- Augmented Reality in Interventional Radiology: A Review of Systems, Ergonomics, Applications, and Outcomes.Journal of medical extended reality · 2025Review
- Image fusion guidance for left subclavian artery in situ fenestration during thoracic endovascular repair.Journal of cardiothoracic surgery · 2024Article
- Anatomy of the aortic segmental arteries-the fundamentals of preventing spinal cord ischemia in aortic aneurysm repair.Frontiers in cardiovascular medicine · 2024Article
- Augmented Reality in Vascular and Endovascular Surgery: Scoping Review.JMIR serious games · 2022Article
- Intercostal artery incorporation to prevent spinal cord ischemia during total endovascular thoracoabdominal aortic repair.JTCVS techniques · 2021Article
- Update on Preoperative Embolization of Bone Metastases.Seminars in interventional radiology · 2019Review
- Quantitative digital subtraction angiography to localize intercostal arteries during thoracic endovascular aortic repair.Journal of vascular surgery cases and innovative techniques · 2018Article
- Elevated 18F-NaF uptake in cricoid cartilage in a patient with laryngeal carcinoma: A case report and literature review.Medicine · 2017Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePreservation of intercostal arteries during thoracic aortic procedures reduces the risk of post-operative paraparesis. The origins of the intercostal arteries are visible on pre-operative computed tomography angiography (CTA), but rarely on intra-operative angiography. The purpose of this report is to suggest an image fusion technique for intra-operative localisation of the intercostal arteries during thoracic endovascular repair (TEVAR). TECHNIQUE: The ostia of the intercostal arteries are identified and manually marked with rings on the pre-operative CTA. The optimal distal landing site in the descending aorta is determined and marked, allowing enough length for an adequate seal and attachment without covering more intercostal arteries than necessary. After 3D/3D fusion of the pre-operative CTA with an intra-operative cone-beam CT (CBCT), the markings are overlaid on the live fluoroscopy screen for guidance. The accuracy of the overlay is confirmed with digital subtraction angiography (DSA) and the overlay is adjusted when needed. Stent graft deployment is guided by the markings. The initial experience of this technique in seven patients is presented.
results3D image fusion was feasible in all cases. Follow-up CTA after 1 month revealed that all intercostal arteries planned for preservation, were patent. None of the patients developed signs of spinal cord ischaemia.
conclusion3D image fusion can be used to localise the intercostal arteries during TEVAR. This may preserve some intercostal arteries and reduce the risk of post-operative spinal cord ischaemia.
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