Research Progress in Multidetector-row Computed Tomographic Presentations and Their Anatomic-pathologic Features of Aortic Dissection after Endovascular Graft Exclusion or Combined Surgical and Endovascular Treatment_Journal of Biomedical Engineering

Authors：

SHAOHeng ¹ ,  YANGZhigang ²

1. Department of Radiology, Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital, Chengdu 610072, China;
2. Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

YANGZhigang, Email: yangzg666@163.com

Keywords：

tomography; X-ray computed; angiography; stent; aortic dissection

DOI：

10.7507/1001-5515.20140178

Video：

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With the development of radiologic intervention, the treatments of aortic dissection are getting more and more diversified. In recent years, Debakey Ⅲ and DebakeyⅠaortic dissection has been usually treated with endovascular graft exclusion, or combined surgical and endovascular treatment. It is therefore more important to evaluate the aorta and its complications after interventional treatments. Because multidetector-row computed tomography (MDCT) has advantages, such as short examination time, high spatial resolution, and simple operation, this modality has become a first choice of non-invasive methods for the follow-up of aortic diseases after the intervention. Now the MDCT presentations and their anatomic-pathologic features of aortic dissection after endovascular graft exclusion or combined surgical and endovascular treatment are reviewed in this article.

Citation： SHAOHeng, YANGZhigang. Research Progress in Multidetector-row Computed Tomographic Presentations and Their Anatomic-pathologic Features of Aortic Dissection after Endovascular Graft Exclusion or Combined Surgical and Endovascular Treatment. Journal of Biomedical Engineering, 2014, 31(4): 945-949. doi: 10.7507/1001-5515.20140178 Copy

1.	WHITE A, BRODER J, MANDO-VANDRICK J, et al. Acute aortic emergencies-part 2: aortic dissections[J]. Adv Emerg Nurs J, 2013, 35(1): 28-52.
2.	BEAN M J, JOHNSON P T, ROSEBOROUGH G S, et al. Thoracic aortic stent-grafts: utility of multidetector CT for Pre- and postprocedure evaluation[J]. Radiographics, 2008, 28(7): 1835-1851.
3.	SHIRALI A S, BISCHOFF M S, LIN H M, et al. Predicting the risk for acute type B aortic dissection in hypertensive patients using anatomic variables[J]. JACC Cardiovasc Imaging, 2013, 6(3): 349-357.
4.	NIENABER C A. Aortic dissection[J]. Dtsch Med Wochenschr, 2012, 137(45): 2323-2326.
5.	HARRIS K M, BRAVERMAN A C, EAGLE K A, et al. Acute aortic intramural hematoma: an analysis from the international registry of acute aortic dissection[J]. Circulation, 2012, 126(11 Suppl 1): S91-S96.
6.	LOEBE M, REN D, RODRIGUEZ L, et al. Acute and chronic thoracic aortic disease: surgical considerations[J]. HSR Proc Intensive Care Cardiovasc Anesth, 2012, 4(4): 243-250.
7.	HUGHES G C, ANDERSEN N D, MCCANN R L. Management of acute type B aortic dissection[J]. J Thorac Cardiovasc Surg, 2013, 145(3 Suppl): S202-S207.
8.	KÖLBEL T, DIENER H, LARENA-AVELLANEDA A, et al. Advanced endovascular techniques for thoracic and abdominal aortic dissections[J]. J Cardiovasc Surg (Torino), 2013, 54(1 Suppl 1): 81-90.
9.	NIENABER C A, ROUSSEAU H, EGGEBRECHT H, et al. Randomized comparison of strategies for type B aortic dissection: the investigation of stent grafts in aortic dissection (instead) trial[J]. Circulation, 2009, 120(25): 2519-2528.
10.	MIDULLA M, FATTORI R, BEREGI J P, et al. Aortic dissection and malperfusion syndrome: a when, what and how-to guide[J]. Radiol Med, 2013, 118(1): 74-88.
11.	JIA X, GUO W, LI T X, et al. The results of stent graft versus medication therapy for chronic type B dissection[J]. J Vasc Surg, 2013, 57(2): 406-414.
12.	WHITE G H, YU W, MAY J, et al. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management[J]. J Endovasc Surg, 1997, 4(2): 152-168.
13.	SUNDER-PLASSMANN L, OREND K H. Stentgrafting of the thoracic aorta-complications[J]. J Cardiovasc Surg (Torino), 2005, 46(2): 121-130.
14.	YANG C P, HSU C P, CHEN W Y, et al. Aortic remodeling after endovascular repair with stainless steel-based stent graft in acute and chronic type B aortic dissection[J]. J Vasc Surg, 2012, 55(6): 1600-1610.
15.	WILLIAMS D M, LEE D Y, HAMILTON B H, et al. The dissected aorta: part Ⅲ. Anatomy and radiologic diagnosis of branch-vessel compromise[J]. Radiology, 1997, 203(1): 37-44.
16.	QIN Y L, DENG G, LI T X, et al. Risk factors of incomplete thrombosis in the false lumen after endovascular treatment of extensive acute type B aortic dissection[J]. J Vasc Surg, 2012, 56(5): 1232-1238.
17.	GORLITZER M, WEISS G, MOIDL R, et al. Repair of stent graft-induced retrograde type A aortic dissection using the E-vita open prosthesis[J]. Eur J Cardiothorac Surg, 2012, 42(3): 566-570.
18.	MAMOPOULOS A T, NOWAK T, LUTHER B. Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction[J]. J Vasc Surg, 2013, 58(1): 208-211.
19.	SHU C, WANG T, LI Q M, et al. Thoracic endovascular aortic repair for retrograde type A aortic dissection with an entry tear in the descending aorta[J]. J Vasc Interv Radiol, 2012, 23(4): 453-460.
20.	CHOI C H, PARK C H, JEON Y B, et al. Early and mid-term changes of the distal aorta after total arch replacement for acute type A aortic dissection[J]. Korean J Thorac Cardiovasc Surg, 2013, 46(1): 33-40.
21.	COCHENNEC F, TRESSON P, CROSS J, et al. Hybrid repair of aortic arch dissections[J]. J Vasc Surg, 2013, 57(6): 1560-1567.
22.	CHANG Q, TIAN C, WEI Y, et al. Hybrid total arch repair without deep hypothermic circulatory arrest for acute type A aortic dissection(R1)[J]. J Thorac Cardiovasc Surg, 2013, 146(6): 1393-1398.
23.	ZHAO H P, ZHU J M, MA W G, et al. Total arch replacement with stented elephant trunk technique for acute type B aortic dissection involving the aortic arch[J]. Ann Thorac Surg, 2012, 93(5): 1517-1522.
24.	TSAI H C, CHEN I M, HSIEH Y C, et al. Concomitant Bentall operation plus aortic arch replacement surgery[J]. J Chin Med Assoc, 2013, 76(2): 88-94.
25.	KITAMURA T, KIGAWA I, FUKUDA S, et al. Long term results with the Cabrol aortic root replacement[J]. Int Heart J, 2011, 52(4): 229-232.
26.	HOLLOWAY B J, ROSEWARNE D, JONES R G. Imaging of thoracic aortic disease[J]. Br J Radiol, 2011, 84(3): S338-S354.
27.	HABETS J, ZANDVOORT H J, REITSMA J B, et al. Magnetic resonance imaging is more sensitive than computed tomography angiography for the detection of endoleaks after endovascular abdominal aortic aneurysm repair:a systematic review[J]. Eur J Vasc Endovasc Surg, 2013, 45(4): 340-350.

1. WHITE A, BRODER J, MANDO-VANDRICK J, et al. Acute aortic emergencies-part 2: aortic dissections[J]. Adv Emerg Nurs J, 2013, 35(1): 28-52.
2. BEAN M J, JOHNSON P T, ROSEBOROUGH G S, et al. Thoracic aortic stent-grafts: utility of multidetector CT for Pre- and postprocedure evaluation[J]. Radiographics, 2008, 28(7): 1835-1851.
3. SHIRALI A S, BISCHOFF M S, LIN H M, et al. Predicting the risk for acute type B aortic dissection in hypertensive patients using anatomic variables[J]. JACC Cardiovasc Imaging, 2013, 6(3): 349-357.
4. NIENABER C A. Aortic dissection[J]. Dtsch Med Wochenschr, 2012, 137(45): 2323-2326.
5. HARRIS K M, BRAVERMAN A C, EAGLE K A, et al. Acute aortic intramural hematoma: an analysis from the international registry of acute aortic dissection[J]. Circulation, 2012, 126(11 Suppl 1): S91-S96.
6. LOEBE M, REN D, RODRIGUEZ L, et al. Acute and chronic thoracic aortic disease: surgical considerations[J]. HSR Proc Intensive Care Cardiovasc Anesth, 2012, 4(4): 243-250.
7. HUGHES G C, ANDERSEN N D, MCCANN R L. Management of acute type B aortic dissection[J]. J Thorac Cardiovasc Surg, 2013, 145(3 Suppl): S202-S207.
8. KÖLBEL T, DIENER H, LARENA-AVELLANEDA A, et al. Advanced endovascular techniques for thoracic and abdominal aortic dissections[J]. J Cardiovasc Surg (Torino), 2013, 54(1 Suppl 1): 81-90.
9. NIENABER C A, ROUSSEAU H, EGGEBRECHT H, et al. Randomized comparison of strategies for type B aortic dissection: the investigation of stent grafts in aortic dissection (instead) trial[J]. Circulation, 2009, 120(25): 2519-2528.
10. MIDULLA M, FATTORI R, BEREGI J P, et al. Aortic dissection and malperfusion syndrome: a when, what and how-to guide[J]. Radiol Med, 2013, 118(1): 74-88.
11. JIA X, GUO W, LI T X, et al. The results of stent graft versus medication therapy for chronic type B dissection[J]. J Vasc Surg, 2013, 57(2): 406-414.
12. WHITE G H, YU W, MAY J, et al. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management[J]. J Endovasc Surg, 1997, 4(2): 152-168.
13. SUNDER-PLASSMANN L, OREND K H. Stentgrafting of the thoracic aorta-complications[J]. J Cardiovasc Surg (Torino), 2005, 46(2): 121-130.
14. YANG C P, HSU C P, CHEN W Y, et al. Aortic remodeling after endovascular repair with stainless steel-based stent graft in acute and chronic type B aortic dissection[J]. J Vasc Surg, 2012, 55(6): 1600-1610.
15. WILLIAMS D M, LEE D Y, HAMILTON B H, et al. The dissected aorta: part Ⅲ. Anatomy and radiologic diagnosis of branch-vessel compromise[J]. Radiology, 1997, 203(1): 37-44.
16. QIN Y L, DENG G, LI T X, et al. Risk factors of incomplete thrombosis in the false lumen after endovascular treatment of extensive acute type B aortic dissection[J]. J Vasc Surg, 2012, 56(5): 1232-1238.
17. GORLITZER M, WEISS G, MOIDL R, et al. Repair of stent graft-induced retrograde type A aortic dissection using the E-vita open prosthesis[J]. Eur J Cardiothorac Surg, 2012, 42(3): 566-570.
18. MAMOPOULOS A T, NOWAK T, LUTHER B. Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction[J]. J Vasc Surg, 2013, 58(1): 208-211.
19. SHU C, WANG T, LI Q M, et al. Thoracic endovascular aortic repair for retrograde type A aortic dissection with an entry tear in the descending aorta[J]. J Vasc Interv Radiol, 2012, 23(4): 453-460.
20. CHOI C H, PARK C H, JEON Y B, et al. Early and mid-term changes of the distal aorta after total arch replacement for acute type A aortic dissection[J]. Korean J Thorac Cardiovasc Surg, 2013, 46(1): 33-40.
21. COCHENNEC F, TRESSON P, CROSS J, et al. Hybrid repair of aortic arch dissections[J]. J Vasc Surg, 2013, 57(6): 1560-1567.
22. CHANG Q, TIAN C, WEI Y, et al. Hybrid total arch repair without deep hypothermic circulatory arrest for acute type A aortic dissection(R1)[J]. J Thorac Cardiovasc Surg, 2013, 146(6): 1393-1398.
23. ZHAO H P, ZHU J M, MA W G, et al. Total arch replacement with stented elephant trunk technique for acute type B aortic dissection involving the aortic arch[J]. Ann Thorac Surg, 2012, 93(5): 1517-1522.
24. TSAI H C, CHEN I M, HSIEH Y C, et al. Concomitant Bentall operation plus aortic arch replacement surgery[J]. J Chin Med Assoc, 2013, 76(2): 88-94.
25. KITAMURA T, KIGAWA I, FUKUDA S, et al. Long term results with the Cabrol aortic root replacement[J]. Int Heart J, 2011, 52(4): 229-232.
26. HOLLOWAY B J, ROSEWARNE D, JONES R G. Imaging of thoracic aortic disease[J]. Br J Radiol, 2011, 84(3): S338-S354.
27. HABETS J, ZANDVOORT H J, REITSMA J B, et al. Magnetic resonance imaging is more sensitive than computed tomography angiography for the detection of endoleaks after endovascular abdominal aortic aneurysm repair:a systematic review[J]. Eur J Vasc Endovasc Surg, 2013, 45(4): 340-350.

Journal of Biomedical Engineering

Research Progress in Multidetector-row Computed Tomographic Presentations and Their Anatomic-pathologic Features of Aortic Dissection after Endovascular Graft Exclusion or Combined Surgical and Endovascular Treatment

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