Evidence map›Paper›PMID 39592936›Full record

ArticleBMC cardiovascular disorders2024

The value of volume measurement in CT in the follow-up of Stanford B aortic dissection after TEVAR.

Ya Li, Gang Yuan, Ying Zhou

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Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Ya Li *Kangda College of Nanjing Medical University (Lianyungang City First People's Hospital), Lianyungang, 222002, China.
Gang Yuan *Kangda College of Nanjing Medical University (Lianyungang City First People's Hospital), Lianyungang, 222002, China.
Ying ZhouKangda College of Nanjing Medical University (Lianyungang City First People's Hospital), Lianyungang, 222002, China. Zhouying261@163.com.

Funding

Young Talents Fund Project of Lianyungang First People's Hospital QN202103
6 · The paper itself

Abstract

backgroundTo investigate the value of dual-source CT combined with volumetric measurement in the follow-up of Stanford Type B aortic dissection (TBAD) intrathoracic aortic repair (TEVAR).

methods40 TBAD patients in our hospital were treated with TEVAR and followed up at 3, 6 and 12 months after surgery. Dual-source CT and volumetric measurements were used to calculate the diameters and areas of the true and false lumen and the total lumen of the left subclavian artery at a distance of 2 cm (P1), the middle part of the descending aorta (P2), the opening of the abdominal trunk (P3) and the anterior bifurcation of the abdominal aorta (P4) before and after surgery. The maximum diameter, maximum area, volume and modified aortic remodeling index (MARI) of the true and false lumen of the distal abdominal aortic dissection were measured to evaluate the postoperative vascular remodeling.

resultsThe true cavity diameter of P1 and P2 increased gradually, the false cavity diameter decreased gradually (P < 0.05), and the total and true cavity diameter of P3 and P4 increased (P < 0.05). After operation, the true cavity area of P1 and P2 gradually increased, and the false cavity area decreased (P < 0.05). The total area of P3, P4, and true cavity increased gradually after operation (P < 0.05). There were statistically significant differences in true and false lumen volume and MARI before and after surgery (P < 0.05).

conclusionCompared with diameter measurement and area measurement, volume measurement can more accurately reflect the remodeling of the true and false lumen of the uncoated aortic dissection. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Aortic Aneurysm, ThoracicAortic DissectionAortographyBlood Vessel Prosthesis ImplantationComputed Tomography AngiographyEndovascular ProceduresPredictive Value of TestsVascular RemodelingAdultAgedAorta, ThoracicAortic Aneurysm, AbdominalEndovascular Aneurysm RepairFemaleHumansMaleAortic dissectionDual-source CTThoracic endovascular aortic repairVascular remodelingVolume measurement

Identifiers

PMID39592936
PMCPMC11590237

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.