Endovascular procedures under near–real-time magnetic resonance imaging guidance: An experimental feasibility study Yves-Marie Dion, MD, MSc, FRCSCa,

Slides:

Advertisements

Similar presentations

Martin R. Prince, MD, PhD, Dasika L. Narasimham, MD, James C

Advertisements

Feasibility of transgastric ultrasonography of the abdominal aorta

Totally laparoscopic abdominal aortic aneurysm repair

Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.

Arterial rupture without balloon rupture during percutaneous transluminal angioplasty Timothy P. Murphy, M.D., John J. Cronan, M.D., Landy P. Paolella,

Martin R. Prince, MD, PhD, Dasika L. Narasimham, MD, James C

Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate.

Measurement of abdominal aortic aneurysms with three-dimensional ultrasound imaging: Preliminary report Daniel F. Leotta, PhD, Marla Paun, BS, Kirk W.

Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD

Transapical endovascular repair of iatrogenic type A aortic dissection

Intravascular ultrasonography allows accurate assessment of abdominal aortic aneurysm: An in vitro validation study Jeroen A. van Essen, MD, Aad van.

Louis L. Smith, M. D. , Douglas C. Smith, M. D. , J. David Killeen, M

Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.

Leiomyosarcoma of the inferior vena cava

Initial experience characterizing a type I endoleak from velocity profiles using time- resolved three-dimensional phase-contrast MRI Thomas A. Hope, MD,

Novel technique for endovascular salvage of a folded aortic endograft

Impact of transrenal aortic endograft placement on endovascular graft repair of abdominal aortic aneurysms Michael L. Marin, MD, Richard E. Parsons,

Feasibility of transgastric ultrasonography of the abdominal aorta

Covered endovascular repair of the paravisceral aorta

Preliminary clinical outcome and imaging criterion for endovascular prosthesis development in high-risk patients who have aortoiliac and traumatic arterial.

Xiaobai Wang, MD, Yan Zhang, MD, Chengzhi Li, MD, Hong Zhang, MD

Covered endovascular repair of the paravisceral aorta

Preoperative assessment of abdominal aortic aneurysm: The value of helical and three- dimensional computed tomography Mario N. Gomes, MD, William J. Davros,

Autologous vein–covered stent for the endovascular management of an iliac artery– ureteral fistula: Case report and review of the literature D.Brent Kerns,

M. R. Sapoval, MD, B. Beyssen, MD, J. Y. Pagny, MD, E

Three-dimensional visualization of velocity profiles in the porcine abdominal aortic trifurcation Erik Morre Pedersen, MD, Jesper Østergaard Hjortdal,

Evaluation of aortoiliac aneurysm before endovascular repair: Comparison of contrast- enhanced magnetic resonance angiography with multidetector row computed.

Percutaneous balloon fenestration and stenting for life-threatening ischemic complications in patients with acute aortic dissection Suzanne M. Slonim,

Aortoscopy: A guidance system for endoluminal aortic surgery

Unilateral renal artery revascularization can salvage renal function and terminate dialysis in selected patients with uremia Enrico Ascer, MD, Mark Gennaro,

Carotid restenosis: Operative and endovascular management

The role of cinefluoroscopy and intravascular ultrasonography in evaluating the deployment of experimental endovascular prostheses Rodney A. White, MD,

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

Thomas S. Monahan, MD, Timothy A. M. Chuter, MD, Linda M

Anatomical repair of a congenital aneurysm of the distal abdominal aorta in a newborn Sergueï Malikov, MD, PhD, Arnauld Delarue, MD, PhD, Pierre-Olivier.

In vitro evaluation of multiple arterial stenoses using three-dimensional power Doppler angiography Zhenyu Guo, PhD, Louis-Gilles Durand, PhD, Louis.

Douglas M. Cavaye, FRACS, Rodney A. White, MD, George E

A morphologic study of chronic type B aortic dissections and aneurysms after thoracic endovascular stent grafting Kai-xiong Qing, MBBS, MMed, Wai-ki.

Shari L. Meyerson, MD, Syed A. Haider, MS, Navyash Gupta, MD, James E

Intraoperative arteriography and carotid surgery

Duplex–assisted internal carotid artery balloon angioplasty and stent placement: A novel approach to minimize or eliminate the use of contrast material

Aortic dissection: Percutaneous management of ischemic complications with endovascular stents and balloon fenestration Suzanne M. Slonim, MD, Ulf Nyman,

Noritake Akaba, M. D. , Hisashi Ujiie, M. D. , Kazumasa Umezawa, M. D

First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms Reinhard Kopp,

Douglas Scott Keith, MD, Brian Markey, MD, Michael Schiedler, MD

Criteria for defining significant central vein stenosis with duplex ultrasound Nicos Labropoulos, PhD, DIC, RVT, Marc Borge, MD, Kenneth Pierce, MD, Peter.

Endoleak as a predictor of outcome after endovascular aneurysm repair: AneuRx multicenter clinical trial Christopher K. Zarins, MDa, Rodney A. White,

Philip J. Walker, FRACS. , Michael D. Dake, MD, R

Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts Reese A. Wain, MD, Ross T. Lyon, MD,

Abe DeAnda, MD, Vigneshwar Kasirajan, MD, Daniel Henry, MD, Stuart I

Crushed stents in benign left brachiocephalic vein stenoses

Spontaneous iliac arteriovenous fistula

Totally laparoscopic explantation of migrated stent graft after endovascular aneurysm repair: A report of two cases Judith C. Lin, MD, Ralf Kolvenbach,

Rupture of an abdominal aortic aneurysm after endovascular graft placement and aneurysm size reduction Yves S. Alimi, MD, PhD, Nabil Chakfe, MD, PhD,

The fate of the donor artery in extraanatomic revascularization

Yijie Hu, MD, PhD, Qianjin Zhong, MD, PhD

John O.F. Roehm, M.D. Journal of Vascular Surgery

Endoleaks after endovascular graft treatment of aortic aneurysms: Classification, risk factors, and outcome Reese A. Wain, MD, Michael L. Marin, MD,

Successful endovascular repair of juxtarenal and suprarenal aortic aneurysms with a branched stent graft Hiroaki Hosokawa, MDa, Tomoyuki Iwase, MDb,

Follow-up evaluation after renal artery bypass surgery with use of carbon dioxide arteriography and color-flow duplex scanning Timothy R.S. Harward,

Balloon expandable stents facilitate right renal artery reconstruction during complex open aortic aneurysm repair Rajendra Patel, MD, Mark F. Conrad,

Iatrogenic dissection of the abdominal aorta

Seizures following subclavian-carotid bypass

Kim J. Hodgson, M.D., David S. Sumner, M.D.

Recognition and treatment of arterial insufficiency from Cafergot

Intramural dissection of superior mesenteric artery

Transfemoral endovascular aortic graft placement

Shortening and reimplantation for tortuous internal carotid arteries

Endovascular repair of two abdominal aortic aneurysms

Richard L. McCann, MD, R.Randal Bollinger, MD, Glenn E. Newman, MD

Presentation transcript:

Endovascular procedures under near–real-time magnetic resonance imaging guidance: An experimental feasibility study Yves-Marie Dion, MD, MSc, FRCSCa, Hassen Ben El Kadi, MDa, Caroline Boudoux, BScb, Jim Gourdon, DVMc, Nabil Chakfé, MDd, Amidou Traoré, PhDe, Christian Moisan, PhDe Journal of Vascular Surgery Volume 32, Issue 5, Pages 1006-1014 (November 2000) DOI: 10.1067/mva.2000.109208 Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 iMRI unit. The working area is shown by the long arrow. Journal of Vascular Surgery 2000 32, 1006-1014DOI: (10.1067/mva.2000.109208) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Distance from the stent to the target at sacrifice: the accuracy of stent positioning by the operator ranges from 22 mm (stent that migrated) to 0 mm. Journal of Vascular Surgery 2000 32, 1006-1014DOI: (10.1067/mva.2000.109208) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Difference between iMRI and sacrifice assessment of stent position in relation to the target. The mean iMRI accuracy averages 0.6 mm. Journal of Vascular Surgery 2000 32, 1006-1014DOI: (10.1067/mva.2000.109208) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Comparison between the iMR image of an iliac stent and the autopsy finding. A, The proximal extremity of the stent is positioned immediately below the aortic trifurcation on the iMRI screen. B, Autopsy corroborates this position. Journal of Vascular Surgery 2000 32, 1006-1014DOI: (10.1067/mva.2000.109208) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Examples of views and resolutions obtainable with the iMRI system. A, Low resolution image, in the axial plane, rapidly acquired, demonstrating the stent as a black ring (long arrow ), which does not impact on the right side of the aortic wall (arrowhead ). Flow can be seen within the stent. The guidewire is also visible in the stent (short arrow ). The vena cava can be seen to the right of the aorta. B, At a higher resolution, the stent is well seen within the aorta in the sagittal plane. Journal of Vascular Surgery 2000 32, 1006-1014DOI: (10.1067/mva.2000.109208) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 A dog aorta seen in the coronal (A, C) and axial (B, D) planes, before (A, B) and at the end (C, D) of balloon dilatation. A, The portion of the angioplasty catheter (long arrow ) lying between the two markers (arrowheads ) is seen. The markers create significant artifacts at the midportion that represent the true center of the marker. The left renal artery is seen (short arrow ). The right renal artery is also visible (dashed arrow ). The distal aorta and iliac arteries are not visualized with this coronal section. B, The angioplasty catheter (short arrow ) is visualized in the middle of the aorta (small arrowheads ). The vena cava (long arrow ) lies to the right of the aorta in these sequences. C, The 4-cm long (from one marker to the other [short arrows ]) angioplasty balloon dilates the aorta (arrowheads ). D, The aorta (small arrows ) is being dilated by the balloon in which saline has been introduced. The balloon totally fills the aortic lumen. Journal of Vascular Surgery 2000 32, 1006-1014DOI: (10.1067/mva.2000.109208) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 The in vitro model. Corresponding lengths of the model and MIP (29 cm) are delimited by arrowheads on each picture. The maximum height of the model is 10 cm. A, In vitro model simulating a tortuous iliac artery. B, iMRI reconstruction of the model with the use of MIP as road map. C, Sequence of near–real-time catheter tracking. The balloon of the catheter is visible because it has been filled with air. D, Superposition of C on B provides the equivalent of making a road map in near–real-time. The balloon is visible in exactly the same location as in C. The kink made in the tubing (short arrow , A ) is also visualized as a “stenosis” on the other iMRI images (short arrow ). Journal of Vascular Surgery 2000 32, 1006-1014DOI: (10.1067/mva.2000.109208) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions