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2015 | 86 | 1 | 1-6
Tytuł artykułu

Morphological evaluation of the iliac and femoral arteries; possibilities and perspectives

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The study presented an approach to the morphometric image of atherosclerotic lesions of the final segment of the abdominal aorta, femoral and iliac arteries, considering possible endovascular intervention. The evaluation of these arteries is very important, because they are often used as a point of access for endovascular procedures performed on the peripheral arteries, or within the thoracic and abdominal aorta and its branches, as well as coronary arteries. The aim of the study was to determine morphometric measurements describing the atherosclerotic lesions, including the methodology of their surgical interpretation. Material and methods. The study group comprised 128 tomograms of patients qualified for surgery. An algorithm based on the mathematical morphology was designed to track the vessels, starting from the division of the common femoral artery, and ending at the bifurcation of the abdominal aorta. We proposed a set of numerical measurements of the observed arterial changes. Results and conclusions. We analysed 128 tomograms with a 94.5% efficiency, and with the assessment accuracy of the degree of lumen reduction (MAE- 1.5%). We observed much higher measurement values of local tortuosity of the atherosclerotic arteries (0.3 - 1 radians), as compared to their anatomical course in a healthy subject (0 - 0.2 radians). The presented method can be a very accurate and useful tool in the numerical analysis of the lumen distribution of the arteries and atherosclerosis, dedicated to surgeons elaborating management strategies.
Wydawca

Rocznik
Tom
86
Numer
1
Strony
1-6
Opis fizyczny
Daty
wydano
2014-01-01
online
2014-02-27
Twórcy
  • Department of Vascular and Endovascular Surgery, Military Institute of Medicine in Warsaw, dziekiewicz@wp.pl
  • Warsaw University of Technology
  • Department of Pathomorphology, Military Institute of Medicine in Warsaw
  • Department of Pathomorphology, Military Institute of Medicine in Warsaw
  • Department of Vascular and Endovascular Surgery, Military Institute of Medicine in Warsaw
Bibliografia
  • 1. Elkouri S, Martelli E, Gloviczki P et al.: Most patients with abdominal aortic aneurysm are not suitable for endovascular repair using currently approved bifurcated stent-grafts. Vasc Endovasc Surg 2004; 38(5): 401-12.[Crossref]
  • 2. Etazadi V, Katzen BT, Benenati JF et al.: Retroperitoneal versus direct femoral artery approach for thoracic endovascular aortic repair access: a case- control study. Ann Vasc Surg 2011; 25(3): 340-44.[Crossref]
  • 3. Kashyap VS, Pavkov ML, Bishop PD et al.: Angiography underestimates peripheral atherosclerosis: lumenography revisited. J Endovasc Ther 2008; 15(1): 117-25.[PubMed][Crossref][WoS]
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  • 6. Rodd CD, Desigan S, Cheshire NJ et al.: The suitability of thoraco-abdominal aortic aneurysms for branched or fenestrated stent-grafts and the development of a new scoring method to aid case assessment. Eur J Vasc Endovasc Surg 2011; 41(2): 175-85.[WoS][Crossref][PubMed]
  • 7. Matsumoto K, Matsubara K, Watada S et al.: Surgical and endovascular procedures for treating isolated iliac artery aneurysms: ten-year experience.World J Surg 2004; 28: 797-800.[PubMed][Crossref]
  • 8. Malina M, Resch T,Sonesson B: EVAR and complex anatomy: an update on fenestrated and branched stent grafts. Scand J Surg 2008; 97: 195-204.[PubMed]
  • 9. Hinchliffe RJ , Hopkinson BR: A hybrid endovascular procedure to preserve internal iliac artery patency during endovascular repair of aortoiliac aneurysms. J Endovasc Ther 2002; 9: 488-92.[PubMed][Crossref]
  • 10. Pomposelli F: Arterial imaging in patients with lower extremity ischemia and diabetes mellitus. J Vasc Surg 2010; 52(suppl): 81-91.[Crossref]
  • 11. O shin OA , Bown MJ, McWilliams RG et al.: Optimal technique for imaging iliac segments during endovascular repair of abdominal aortic aneurysms. J Endovasc Ther 2009; 16(3): 373-79.
  • 12. Dufour A, Tankyevych O, Naegel B et al.: Filtering and segmentation of 3D angiographic data: Advances based on mathematical morphology. Med Image Anal 2012; 12(2): 147-64.[WoS]
  • 13. Veith FJ, Cayne NS,Berland T: EVAR for ruptured abdominal aortic aneurysms. Endovascular today 2011; (March): 50-52.
  • 14. Tillich M, Bell R, Paik DS et al.: Iliac arterial injuries after endovascular repair of abdominal aortic aneurysms: correlation with iliac curvature and diameter. Radiol 2001; 219(1): 129-36.
  • 15. Duivenvoorden R, De Groot E, Elsen MB et al.: In Vivo Quantification of Carotid Artery Wall Dimensions.3.0-Tesla MRI Versus B-Mode Ultrasound Imaging. Circulation: Cardiovasc Imaging 2009; 2: 235-42.[WoS]
  • 16. Nederkoorn PJ, Van der Graff Y, Hunink MGM: Duplex Ultrasound and Magnetic Resonance Angiography Compared With Digital Subtraction Angiography in Carotid Artery Stenosis. Stroke 2003; 34: 1324-31.[Crossref]
  • 17. Takano T, Goto H, Ichinose H et al.: A case of iliac arteriovenous fistula presenting with iliac artery aneurysm preoperatively diagnosed by ultrasonography.Ann Thorac Cardiovasc Surg 2009; 15(2): 133-36.[PubMed]
  • 18. Andziak P: Chirurgia pozaczaszkowych tętnic mózgowych. PZWL, Warszawa 2007.
  • 19. Otkar SO , Yücel C, Karaosmanoglu D et al.: Blood-flow volume quantification in internal carotid and vertebral arteries: comparison of 3 different ultrasound techniques with phase-contrast MR imaging. AJ NR Am J Neuroradiol 2006; 27(2): 363-69.
  • 20. Donaldson MC, Ivarsson BL, Mannick JA et al.: Impact of completion angiography on operative conduct and results of carotid endarterectomy. Ann Surg 1993; 217(6): 682-87.
  • 21. Akram K, Voros S: Absolute coronary artery calcium scores are superior to MESA percentile rank in predicting obstructive coronary artery disease.Int J Cardiovasc Imaging 2008; 24(7): 743-49.[PubMed][Crossref][WoS]
  • 22. Isgum I, Rutten A, Prokop M et al.: Automated aortic calcium scoring on low-dose chest computed tomography. Med Phys 2010; 37(2): 714-23.[PubMed][WoS][Crossref]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0001
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