Accuracy of Centerline of Flow Measurement for Sizing of the Zenith AAA Endovascular Graft and Predictive Factor for Risk of Inadequate Sizing
The purpose of this study was to evaluate the accuracy of centerline of flow (CLF) measurement for precise sizing of the Zenith AAA endovascular graft (Zenith) and to identify predictive factors of risk of inadequate endograft sizing. We analyzed 42 consecutive patients treated using the Zenith with...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2009-05, Vol.32 (3), p.441-448 |
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| creator | Higashiura, Wataru Kichikawa, Kimihiko Sakaguchi, Shoji Tabayashi, Nobuoki Taniguchi, Shigeki Uchida, Hideo |
| description | The purpose of this study was to evaluate the accuracy of centerline of flow (CLF) measurement for precise sizing of the Zenith AAA endovascular graft (Zenith) and to identify predictive factors of risk of inadequate endograft sizing. We analyzed 42 consecutive patients treated using the Zenith with pre- and postoperative multidetector CT between 2001 and 2007. Endograft sizing was retrospectively performed using CLF on a three-dimensional workstation. The following parameters were investigated: (a) change in distance from lowest renal artery to hypogastric artery between CLF on preoperative CT (CLFp) and CLF of graft path on postoperative CT (CLFg); (b) supposed success rate of adequate endograft length selection; and (c) predictive factors for significant alteration (>10 mm) between CLFp and CLFg. Median change in distance from lowest renal artery to hypogastric artery was 4 mm. CLFg was >10 mm shorter than CLFp in 10 of 84 limbs (12%). Multivariate analysis demonstrated tortuosity index (TI) of infrarenal abdominal aorta (
p
= 0.019), aneurysm diameter (
p
= 0.035), and ipsilateral side of the main body insertion (
p
= 0.042) as predictive factors of significant alteration between CLFp and CLFg. Adequate endograft length selection was achieved in 39 of 42 cases (93%). All three inadequate endograft length selections were associated with tortuous aorta (TI > 20 mm). In conclusion, distance calculations based on CLF measurement provided accurate length selection of the Zenith in the majority of cases. TI, aneurysm diameter, and ipsilateral side were predictive factors for significant alteration. The CLF and aortic measurements including the TI may allow for improved sizing for Zenith placements. |
| doi_str_mv | 10.1007/s00270-009-9531-9 |
| format | Article |
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p
= 0.019), aneurysm diameter (
p
= 0.035), and ipsilateral side of the main body insertion (
p
= 0.042) as predictive factors of significant alteration between CLFp and CLFg. Adequate endograft length selection was achieved in 39 of 42 cases (93%). All three inadequate endograft length selections were associated with tortuous aorta (TI > 20 mm). In conclusion, distance calculations based on CLF measurement provided accurate length selection of the Zenith in the majority of cases. TI, aneurysm diameter, and ipsilateral side were predictive factors for significant alteration. The CLF and aortic measurements including the TI may allow for improved sizing for Zenith placements.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-009-9531-9</identifier><identifier>PMID: 19267153</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>ACCURACY ; Aged ; Aged, 80 and over ; Angiography ; Aortic Aneurysm, Abdominal - diagnostic imaging ; Aortic Aneurysm, Abdominal - surgery ; Blood Flow Velocity ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - instrumentation ; BODY ; Cardiology ; Clinical Investigation ; DIMENSIONS ; DISTANCE ; Female ; GRAFTS ; HAZARDS ; HEALTH HAZARDS ; Humans ; Imaging ; Imaging, Three-Dimensional ; KIDNEYS ; LENGTH ; Logistic Models ; Male ; MATHEMATICS ; Medicine ; Medicine & Public Health ; Middle Aged ; MULTIVARIATE ANALYSIS ; Nuclear Medicine ; ORGANS ; Prosthesis Design ; Prosthesis Fitting - methods ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Renal Artery ; Retrospective Studies ; Risk Factors ; SIZE ; STATISTICS ; Statistics, Nonparametric ; Stomach - blood supply ; Tomography, X-Ray Computed ; TRANSPLANTS ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2009-05, Vol.32 (3), p.441-448</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-e6891fcf3e09eaf177a0463c0d51a06e134095e050c95c80a1b00bfd21bc191d3</citedby><cites>FETCH-LOGICAL-c463t-e6891fcf3e09eaf177a0463c0d51a06e134095e050c95c80a1b00bfd21bc191d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-009-9531-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-009-9531-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19267153$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21428534$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Higashiura, Wataru</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><creatorcontrib>Sakaguchi, Shoji</creatorcontrib><creatorcontrib>Tabayashi, Nobuoki</creatorcontrib><creatorcontrib>Taniguchi, Shigeki</creatorcontrib><creatorcontrib>Uchida, Hideo</creatorcontrib><title>Accuracy of Centerline of Flow Measurement for Sizing of the Zenith AAA Endovascular Graft and Predictive Factor for Risk of Inadequate Sizing</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>The purpose of this study was to evaluate the accuracy of centerline of flow (CLF) measurement for precise sizing of the Zenith AAA endovascular graft (Zenith) and to identify predictive factors of risk of inadequate endograft sizing. We analyzed 42 consecutive patients treated using the Zenith with pre- and postoperative multidetector CT between 2001 and 2007. Endograft sizing was retrospectively performed using CLF on a three-dimensional workstation. The following parameters were investigated: (a) change in distance from lowest renal artery to hypogastric artery between CLF on preoperative CT (CLFp) and CLF of graft path on postoperative CT (CLFg); (b) supposed success rate of adequate endograft length selection; and (c) predictive factors for significant alteration (>10 mm) between CLFp and CLFg. Median change in distance from lowest renal artery to hypogastric artery was 4 mm. CLFg was >10 mm shorter than CLFp in 10 of 84 limbs (12%). Multivariate analysis demonstrated tortuosity index (TI) of infrarenal abdominal aorta (
p
= 0.019), aneurysm diameter (
p
= 0.035), and ipsilateral side of the main body insertion (
p
= 0.042) as predictive factors of significant alteration between CLFp and CLFg. Adequate endograft length selection was achieved in 39 of 42 cases (93%). All three inadequate endograft length selections were associated with tortuous aorta (TI > 20 mm). In conclusion, distance calculations based on CLF measurement provided accurate length selection of the Zenith in the majority of cases. TI, aneurysm diameter, and ipsilateral side were predictive factors for significant alteration. The CLF and aortic measurements including the TI may allow for improved sizing for Zenith placements.</description><subject>ACCURACY</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Blood Flow Velocity</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>BODY</subject><subject>Cardiology</subject><subject>Clinical Investigation</subject><subject>DIMENSIONS</subject><subject>DISTANCE</subject><subject>Female</subject><subject>GRAFTS</subject><subject>HAZARDS</subject><subject>HEALTH HAZARDS</subject><subject>Humans</subject><subject>Imaging</subject><subject>Imaging, Three-Dimensional</subject><subject>KIDNEYS</subject><subject>LENGTH</subject><subject>Logistic Models</subject><subject>Male</subject><subject>MATHEMATICS</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>MULTIVARIATE ANALYSIS</subject><subject>Nuclear Medicine</subject><subject>ORGANS</subject><subject>Prosthesis Design</subject><subject>Prosthesis Fitting - methods</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Renal Artery</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>SIZE</subject><subject>STATISTICS</subject><subject>Statistics, Nonparametric</subject><subject>Stomach - blood supply</subject><subject>Tomography, X-Ray Computed</subject><subject>TRANSPLANTS</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kV1rFDEUhgdR7Fr9Ad5IsODd6DnJZD4uh6VbCxXFDxBvQjZzpps6m2mTTKX-iP7mZpiFguDVIbzPeQ7hzbLXCO8RoPoQAHgFOUCTN1Jg3jzJVlgInkNd_nyarQCrIkcp8Sh7EcIVAMqay-fZETa8rFCKVXbfGjN5be7Y2LM1uUh-sI7m12YY_7BPpMPkaZ8S1o-efbN_rbuc47gj9oucjTvWti07dd14q4OZBu3Zmdd9ZNp17Iunzppob4lttInJMFu-2vB7dpw73dHNpCMdxC-zZ70eAr06zOPsx-b0-_pjfvH57HzdXuSmKEXMqawb7E0vCBrSPVaVhhQY6CRqKAlFAY0kkGAaaWrQuAXY9h3HrcEGO3GcnSzeMUSrgrGRzM6MzpGJimPBaymKRL1bqGs_3kwUotrbYGgYtKNxCqqseCnKSiTw7T_g1Th5l36gOK9EXaRSEoQLZPwYgqdeXXu71_5OIai5T7X0qVKfau5TNWnnzUE8bffUPW4cCkwAX4CQIndJ_vHy_60P7ESqXg</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Higashiura, Wataru</creator><creator>Kichikawa, Kimihiko</creator><creator>Sakaguchi, Shoji</creator><creator>Tabayashi, Nobuoki</creator><creator>Taniguchi, Shigeki</creator><creator>Uchida, Hideo</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20090501</creationdate><title>Accuracy of Centerline of Flow Measurement for Sizing of the Zenith AAA Endovascular Graft and Predictive Factor for Risk of Inadequate Sizing</title><author>Higashiura, Wataru ; Kichikawa, Kimihiko ; Sakaguchi, Shoji ; Tabayashi, Nobuoki ; Taniguchi, Shigeki ; Uchida, Hideo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-e6891fcf3e09eaf177a0463c0d51a06e134095e050c95c80a1b00bfd21bc191d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>ACCURACY</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiography</topic><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Blood Flow Velocity</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - instrumentation</topic><topic>BODY</topic><topic>Cardiology</topic><topic>Clinical Investigation</topic><topic>DIMENSIONS</topic><topic>DISTANCE</topic><topic>Female</topic><topic>GRAFTS</topic><topic>HAZARDS</topic><topic>HEALTH HAZARDS</topic><topic>Humans</topic><topic>Imaging</topic><topic>Imaging, Three-Dimensional</topic><topic>KIDNEYS</topic><topic>LENGTH</topic><topic>Logistic Models</topic><topic>Male</topic><topic>MATHEMATICS</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>MULTIVARIATE ANALYSIS</topic><topic>Nuclear Medicine</topic><topic>ORGANS</topic><topic>Prosthesis Design</topic><topic>Prosthesis Fitting - methods</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Renal Artery</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>SIZE</topic><topic>STATISTICS</topic><topic>Statistics, Nonparametric</topic><topic>Stomach - blood supply</topic><topic>Tomography, X-Ray Computed</topic><topic>TRANSPLANTS</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Higashiura, Wataru</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><creatorcontrib>Sakaguchi, Shoji</creatorcontrib><creatorcontrib>Tabayashi, Nobuoki</creatorcontrib><creatorcontrib>Taniguchi, Shigeki</creatorcontrib><creatorcontrib>Uchida, Hideo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Higashiura, Wataru</au><au>Kichikawa, Kimihiko</au><au>Sakaguchi, Shoji</au><au>Tabayashi, Nobuoki</au><au>Taniguchi, Shigeki</au><au>Uchida, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of Centerline of Flow Measurement for Sizing of the Zenith AAA Endovascular Graft and Predictive Factor for Risk of Inadequate Sizing</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>32</volume><issue>3</issue><spage>441</spage><epage>448</epage><pages>441-448</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>The purpose of this study was to evaluate the accuracy of centerline of flow (CLF) measurement for precise sizing of the Zenith AAA endovascular graft (Zenith) and to identify predictive factors of risk of inadequate endograft sizing. We analyzed 42 consecutive patients treated using the Zenith with pre- and postoperative multidetector CT between 2001 and 2007. Endograft sizing was retrospectively performed using CLF on a three-dimensional workstation. The following parameters were investigated: (a) change in distance from lowest renal artery to hypogastric artery between CLF on preoperative CT (CLFp) and CLF of graft path on postoperative CT (CLFg); (b) supposed success rate of adequate endograft length selection; and (c) predictive factors for significant alteration (>10 mm) between CLFp and CLFg. Median change in distance from lowest renal artery to hypogastric artery was 4 mm. CLFg was >10 mm shorter than CLFp in 10 of 84 limbs (12%). Multivariate analysis demonstrated tortuosity index (TI) of infrarenal abdominal aorta (
p
= 0.019), aneurysm diameter (
p
= 0.035), and ipsilateral side of the main body insertion (
p
= 0.042) as predictive factors of significant alteration between CLFp and CLFg. Adequate endograft length selection was achieved in 39 of 42 cases (93%). All three inadequate endograft length selections were associated with tortuous aorta (TI > 20 mm). In conclusion, distance calculations based on CLF measurement provided accurate length selection of the Zenith in the majority of cases. TI, aneurysm diameter, and ipsilateral side were predictive factors for significant alteration. The CLF and aortic measurements including the TI may allow for improved sizing for Zenith placements.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19267153</pmid><doi>10.1007/s00270-009-9531-9</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Cardiovascular and interventional radiology, 2009-05, Vol.32 (3), p.441-448 |
| issn | 0174-1551 1432-086X |
| language | eng |
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| subjects | ACCURACY Aged Aged, 80 and over Angiography Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery Blood Flow Velocity Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - instrumentation BODY Cardiology Clinical Investigation DIMENSIONS DISTANCE Female GRAFTS HAZARDS HEALTH HAZARDS Humans Imaging Imaging, Three-Dimensional KIDNEYS LENGTH Logistic Models Male MATHEMATICS Medicine Medicine & Public Health Middle Aged MULTIVARIATE ANALYSIS Nuclear Medicine ORGANS Prosthesis Design Prosthesis Fitting - methods Radiology RADIOLOGY AND NUCLEAR MEDICINE Renal Artery Retrospective Studies Risk Factors SIZE STATISTICS Statistics, Nonparametric Stomach - blood supply Tomography, X-Ray Computed TRANSPLANTS Ultrasound |
| title | Accuracy of Centerline of Flow Measurement for Sizing of the Zenith AAA Endovascular Graft and Predictive Factor for Risk of Inadequate Sizing |
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