Endovascular aortic repair of a postdissecting thoracoabdominal aneurysm using intraoperative fusion imaging Adrien Kaladji, MD, Aurélien Dumenil, PhD,

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Presentation transcript:

Endovascular aortic repair of a postdissecting thoracoabdominal aneurysm using intraoperative fusion imaging Adrien Kaladji, MD, Aurélien Dumenil, PhD, Miguel Castro, PhD, Pascal Haigron, PhD, Jean-François Heautot, MD, Stéphan Haulon, MD, PhD Journal of Vascular Surgery Volume 57, Issue 4, Pages 1109-1112 (April 2013) DOI: 10.1016/j.jvs.2012.10.012 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative sagittal (A) and axial (B) computed tomographic (CT) multiplanar reconstructions. The white arrow indicates the proximal entry tear located at the thoracoabdominal junction. The black arrow indicates the exit tear near the origin of the left renal artery. Journal of Vascular Surgery 2013 57, 1109-1112DOI: (10.1016/j.jvs.2012.10.012) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Preoperative three-dimensional (3D) volume rendering of the aorta before (A) and after (B) postprocessing of the true lumen (red) and the false lumen (yellow). C, The postprocessing volume is superimposed onto the two-dimensional intraoperative fluoroscopic image. The left renal artery was cannulated with a guidewire to check the accurate location of the target vessels with the fusion. D, The position of the endograft delivery system within the true lumen (red area) was confirmed. Journal of Vascular Surgery 2013 57, 1109-1112DOI: (10.1016/j.jvs.2012.10.012) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Postoperative computed tomographic (CT) control confirmed patency of all target vessels and no residual flow in the false lumen. Journal of Vascular Surgery 2013 57, 1109-1112DOI: (10.1016/j.jvs.2012.10.012) Copyright © 2013 Society for Vascular Surgery Terms and Conditions