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- Title
3D rotational angiography in the endovascular treatment of visceral aneurysms: preliminary experience in a single centre.
- Authors
Saeed Kilani, Mohammad; Haberlay, Marc; Bergère, Antonin; Murphy, Colm; Sobocinski, Jonathan; Donati, Tommaso; Pruvo, Jean; Haulon, Stephan; Berg, Jos; Midulla, Marco; Kilani, Mohammad Saeed; Pruvo, Jean Pierre; van den Berg, Jos C
- Abstract
<bold>Objectives: </bold>Endovascular embolization is a valid option for the management of visceral artery aneurysms. Imaging is crucial for providing anatomical assessments, but preoperative non-invasive investigations may not be exhaustive. The aim of this work is to present preliminary experience with the use of three-dimensional rotational angiography (3DRA) in this particular theatre.<bold>Methods: </bold>Seven patients were treated for eight visceral aneurysms (six splenic and two renal) by endovascular embolization. 3DRA was performed before the treatment using a standard protocol. Different parameters (location of the lesion, the afferent and efferent vessels, aneurysm neck, vascular diameters, working incidence) were analyzed.<bold>Results: </bold>3DRA was successfully accomplished in all procedures. Mean aneurysm diameter was 23 mm and mean C-arm working incidence was 29° (R-L) and 9° (C-C). The sandwich technique was used in four lesions and the packing in the remaining four. Technical success was 100 %. The mean radiation dose per procedure was 291 600 mGy.cm(2). The mean procedural time was 2.25 hours. There were no immediate or short-term complications.<bold>Conclusions: </bold>3DRA could be an interesting intraoperative tool to provide anatomical and technical assessments of the visceral arteries necessary for endovascular treatment, especially when information from preoperative imaging is not exhaustive.<bold>Key Points: </bold>Endovascular embolization is a valid alternative solution for visceral artery aneurysm treatment. Imaging is crucial for anatomical assessments and treatment guidance. 3DRA can contribute to endovascular treatment in lieu of preoperative imaging.
- Subjects
ANGIOGRAPHY; ANEURYSMS; THERAPEUTIC embolization; ARTERIES; ENDOVASCULAR surgery
- Publication
European Radiology, 2016, Vol 26, Issue 1, p87
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-015-3820-2