Intraoperative contrast-enhanced cone beam computed tomography to assess technical success during endovascular aneurysm repair Christof Johannes Schulz,

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Presentation transcript:

Intraoperative contrast-enhanced cone beam computed tomography to assess technical success during endovascular aneurysm repair Christof Johannes Schulz, Matthias Schmitt, Dittmar Böckler, MD, PhD, Philipp Geisbüsch, MD Journal of Vascular Surgery Volume 64, Issue 3, Pages 577-584 (September 2016) DOI: 10.1016/j.jvs.2016.02.045 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Maximum intensity projection of a contrast-enhanced cone beam computed tomography (ceCBCT) image with a cylindrical field of view of 200 mm in diameter and 237 mm in height, which is usually large enough to evaluate endovascular aneurysm repair (EVAR), iliac side branch, and fenestrated and branched endograft procedures (excluding thoracic components). Journal of Vascular Surgery 2016 64, 577-584DOI: (10.1016/j.jvs.2016.02.045) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Three-dimensional and multiplanar reconstructions of the contrast-enhanced cone beam computed tomography (ceCBCT) image are automatically generated by the workstation. Journal of Vascular Surgery 2016 64, 577-584DOI: (10.1016/j.jvs.2016.02.045) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Ability to evaluate stent graft position with regard to the lower renal artery on computed tomography angiography (CTA; left) and contrast-enhanced cone beam computed tomography (ceCBCT; right) in the same patient. Journal of Vascular Surgery 2016 64, 577-584DOI: (10.1016/j.jvs.2016.02.045) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Digital subtraction angiography (DSA; left) shows good blood flow in the ipsilateral limb and impaired blood flow in the contralateral stent graft due to previously embolized hypogastric artery and sheath in place. On contrast-enhanced cone beam computed tomography (ceCBCT; right), a previously unseen thrombus was detected in the dorsal, ipsilateral stent graft and was successfully treated with thrombectomy. Journal of Vascular Surgery 2016 64, 577-584DOI: (10.1016/j.jvs.2016.02.045) Copyright © 2016 Society for Vascular Surgery Terms and Conditions