Semin intervent Radiol 2024; 41(06): 581-587
DOI: 10.1055/s-0044-1800953
Review Article

Aortic Endograft Sizing

Andrew T. Ray
1   Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia
,
Luke R. Wilkins
1   Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia
,
Daniel P. Sheeran
1   Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia
,
W. Darrin Clouse
2   Division of Vascular and Endovascular Surgery, University of Virginia, Charlottesville, Virginia
,
J. Fritz Angle
1   Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia
› Institutsangaben

Abstract

Thoracic endovascular aortic repair (TEVAR) and endovascular abdominal aortic aneurysm repair (EVAR) have become widely accepted techniques for the treatment of aortic aneurysms and dissections. Central to the success of TEVAR and EVAR is accurate endograft sizing. Key aspects to be discussed in this article include the importance of preprocedural centerline imaging with computed tomography angiography to evaluate the proximal and distal seal zones. This article will review TEVAR and EVAR endograft sizing, providing the interventionalist with practical advice to optimize patient selection and to improve procedural success.



Publikationsverlauf

Artikel online veröffentlicht:
20. Dezember 2024

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  • References

  • 1 Han SM, Elsayed RS, Ham SW. et al. Comparison of intravascular ultrasound- and centerline computed tomography-determined aortic diameters during thoracic endovascular aortic repair. J Vasc Surg 2017; 66 (04) 1184-1191
  • 2 Herman CR, Charbonneau P, Hongku K. et al. Any nonadherence to instructions for use predicts graft-related adverse events in patients undergoing elective endovascular aneurysm repair. J Vasc Surg 2018; 67 (01) 126-133
  • 3 Charlton-Ouw KM, Ikeno Y, Bokamper M, Zakhary E, Smeds MR. GREAT participants. Aortic endograft sizing and endoleak, reintervention, and mortality following endovascular aneurysm repair. J Vasc Surg 2021; 74 (05) 1519-1526.e2
  • 4 Rowse JW, Morrow K, Bena JF, Eagleton MJ, Parodi FE, Smolock CJ. Iliac conduits remain safe in complex endovascular aortic repair. J Vasc Surg 2019; 70 (02) 424-431
  • 5 Jaffan AAA, Prince EA, Hampson CO, Murphy TP. The preclose technique in percutaneous endovascular aortic repair: a systematic literature review and meta-analysis. Cardiovasc Intervent Radiol 2013; 36 (03) 567-577
  • 6 DuBois BG, Houben IB, Khaja MS. et al. Thoracic endovascular aortic repair in the setting of compromised distal landing zones. Ann Thorac Surg 2021; 111 (01) 237-245
  • 7 Piazza M, Squizzato F, Xodo A. et al. Determination of optimal and safest proximal sealing length during thoracic endovascular aortic repair. Eur J Vasc Endovasc Surg 2021; 62 (03) 423-430
  • 8 Kuo EC, Veranyan N, Johnson CE. et al. Impact of proximal seal zone length and intramural hematoma on clinical outcomes and aortic remodeling after thoracic endovascular aortic repair for aortic dissections. J Vasc Surg 2019; 69 (04) 987-995
  • 9 van Keulen JW, Moll FL, Tolenaar JL, Verhagen HJM, van Herwaarden JA. Validation of a new standardized method to measure proximal aneurysm neck angulation. J Vasc Surg 2010; 51 (04) 821-828