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Outcome-based anatomic criteria for defining the hostile aortic neck

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Presentation on theme: "Outcome-based anatomic criteria for defining the hostile aortic neck"— Presentation transcript:

1 Outcome-based anatomic criteria for defining the hostile aortic neck
William D. Jordan, MD, Kenneth Ouriel, MD, Manish Mehta, MD, MPH, David Varnagy, MD, William M. Moore, MD, Frank R. Arko, MD, James Joye, DO, Jean-Paul P.M. de Vries, MD William D. Jordan, Jean Paul de Vries, James Joye, H.H. Eckstein, Joost van Herwaarden, Frank R. Arko, Paul Bove, William Bohannon, Bram Fioole, Carlo Setacci, Timothy Resch, Vicente Riambau, Dierk Scheinert, Andrej Schmidt, Daniel Clair, Mohammed Moursi, Mark Farber, Joerg Tessarek, Giovanni Torsello, Mark Fillinger, Marc Glickman, John Henretta, Kim Hodgson, Jeffrey Jim, Barry Katzen, Evan Lipsitz, Mitchell Cox, Thomas Naslund, Venkatesh Ramaiah, Marc Schermerhorn, Peter Schneider, Benjamin Ware Starnes, Carlos Donayre, Manish Mehta, Burkhart Zipfel, Nitin Malhotra, David Varnagy, William Moore, Nick Cheshire, Colin Bicknell, Martin Back, Bart Muhs, Mahmoud B. Malas, Syed Hussain, NavYash Gupta, Dittmar Bockler, Eric Verhoeven, Michel Reijnen William D. Jordan, MD, Kenneth Ouriel, MD, Manish Mehta, MD, MPH, David Varnagy, MD, William M. Moore, MD, Frank R. Arko, MD, James Joye, DO, Jean-Paul P.M. de Vries, MD William D. Jordan, Jean Paul de Vries, James Joye, H.H. Eckstein, Joost van Herwaarden, Frank R. Arko, Paul Bove, William Bohannon, Bram Fioole, Carlo Setacci, Timothy Resch, Vicente Riambau, Dierk Scheinert, Andrej Schmidt, Daniel Clair, Mohammed Moursi, Mark Farber, Joerg Tessarek, Giovanni Torsello, Mark Fillinger, Marc Glickman, John Henretta, Kim Hodgson, Jeffrey Jim, Barry Katzen, Evan Lipsitz, Mitchell Cox, Thomas Naslund, Venkatesh Ramaiah, Marc Schermerhorn, Peter Schneider, Benjamin Ware Starnes, Carlos Donayre, Manish Mehta, Burkhart Zipfel, Nitin Malhotra, David Varnagy, William Moore, Nick Cheshire, Colin Bicknell, Martin Back, Bart Muhs, Mahmoud B. Malas, Syed Hussain, NavYash Gupta, Dittmar Bockler, Eric Verhoeven, Michel Reijnen  Journal of Vascular Surgery  Volume 61, Issue 6, Pages e1 (June 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Receiver operating characteristic (ROC) curves for aortic neck diameter at the lowest renal artery and at 5-mm increments distally to 15 mm. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Receiver operating characteristic (ROC) curves for anatomic neck length and visual neck length. Anatomic neck length is measured to the level at which the vessel diameter is 10% greater than its diameter at the lowest renal artery, whereas visual neck length is measured to the visually ascertained aortic wall inflection point that identifies the start of the aneurysm. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Receiver operating characteristic (ROC) curves for thrombus and calcium content within the proximal aortic neck, assessed 5 mm distal to the lowest renal artery. Each end point is measured as the average thickness over the area of involvement as well as the degrees of circumference covered with >1 mm of mural thrombus or calcium. Mural thrombus was protective against type Ia endoleak. The effect of calcium was opposite but did not attain statistical significance as a predictive variable. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

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