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Serial CT Volume and Thrombus Length Measurements after Endovascular Repair of Stanford Type B Aortic Dissection

Purpose: To evaluate the outcome of stent-graft placement in Stanford type B aortic dissection using contrast-enhanced spiral computed tomographic (CT) measurements of true and false lumen volumes and thrombus length. Methods: Among 18 consecutive patients (13 men; mean age 60 years, range 44–79) wh...

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Bibliographic Details
Published in:Journal of endovascular therapy 2004-02, Vol.11 (1), p.1-12
Main Authors: Czermak, Benedikt V., Mallouhi, Ammar, Perkmann, Reinhold, Steingruber, Iris E., Waldenberger, Peter, Neuhauser, Beate, Fraedrich, Gustav, Jung, Tarzis, Jaschke, Werner R.
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Language:English
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Summary:Purpose: To evaluate the outcome of stent-graft placement in Stanford type B aortic dissection using contrast-enhanced spiral computed tomographic (CT) measurements of true and false lumen volumes and thrombus length. Methods: Among 18 consecutive patients (13 men; mean age 60 years, range 44–79) who underwent endovascular repair of Stanford type B dissection, 12 completed at least a 12-month follow-up, which included CT measurements of true and false lumen volumes and thrombus lengths prior to discharge and at 6 and 12 months postimplantation. Volumes were assessed in 3 different aortic segments (A1, A2, A3) extending from the proximal attachment site of the prosthesis to the aortic bifurcation. In addition, thrombus length was measured to evaluate the influence of clot formation on outcome of the false lumen volume. Results: Mean follow-up was 27 months (range 12–60). Within 12 months, mean true lumen volumes showed statistically significant increases in the A1 (p
ISSN:1526-6028
1545-1550
DOI:10.1177/152660280401100101