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3D rotational angiography in the endovascular treatment of visceral aneurysms: preliminary experience in a single centre

  • Vascular-Interventional
  • Published:
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Abstract

Objectives

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.

Methods

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.

Results

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.cm2. The mean procedural time was 2.25 hours. There were no immediate or short-term complications.

Conclusions

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.

Key Points

• 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

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References

  1. Ferrero E, Ferri M, Viazzo A, Robaldo A, Carbonatto P, Pecchio A et al (2011) Visceral artery aneurysms, an experience on 32 cases in a single center: treatment from surgery to multilayer stent. Ann Vasc Surg 25:923–935

    Article  PubMed  Google Scholar 

  2. Cordova AC, Sumpio BE (2013) Visceral Artery Aneurysms and Pseudoaneurysms-Should They All be Managed by Endovascular Techniques? Ann Vasc Dis 6:687–693

    Article  PubMed Central  PubMed  Google Scholar 

  3. Guillon R, Garcier JM, Abergel A, Mofid R, Garcia V, Chahid T et al (2003) Management of splenic artery aneurysms and false aneurysms with endovascular treatment in 12 patients. Cardiovasc Intervent Radiol 26:256–260

    Article  CAS  PubMed  Google Scholar 

  4. Spiliopoulos S, Sabharwal T, Karnabatidis D, Brountzos E, Katsanos K, Krokidis M et al (2011) Endovascular Treatment of Visceral Aneurysms and Pseudoaneurysms: Long-term Outcomes from a Multicenter European Study. Cardiovasc Intervent Radiol. doi:10.1007/s00270-011-0312-x

    Google Scholar 

  5. Tulsyan N, Kashyap VS, Greenberg RK, Sarac TP, Clair DG, Pierce G et al (2007) The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg 45:276–283

    Article  PubMed  Google Scholar 

  6. Belli A-M, Markose G, Morgan R (2011) The Role of Interventional Radiology in the Management of Abdominal Visceral Artery Aneurysms. Cardiovasc Interv Radiol 35:234–243

    Article  Google Scholar 

  7. Sédat J, Chau Y, Baque J (2012) Endovascular treatment of renal aneurysms: A series of 18 cases. Eur J Radiol 81:3973–3978

    Article  PubMed  Google Scholar 

  8. Zhang Z, Yang M, Song L, Tong X, Zou Y (2013) Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas. J Vasc Surg. doi:10.1016/j.jvs.2012.09.042

    PubMed Central  Google Scholar 

  9. Etezadi V, Gandhi RT, Benenati JF, Rochon P, Gordon M, Benenati MJ et al (2011) Endovascular treatment of visceral and renal artery aneurysms. J Vasc Interv Radiol 22:1246–1253

    Article  PubMed  Google Scholar 

  10. Seo JM, Park KB, Kim KH, Jeon P, Shin SW, Park HS et al (2011) Clinical and multidetector CT follow-up results of renal artery aneurysms treated by detachable coil embolization using 3D rotational angiography. Acta Radiol 52:854–859

    Article  PubMed  Google Scholar 

  11. Van den Berg JC, Moll FL (2003) Three-dimensional rotational angiography in peripheral endovascular interventions. J Endovasc Ther 10:595–600

    PubMed  Google Scholar 

  12. Van den Berg JC, Overtoom TTC, de Valois JC, Moll FL (2002) Using three-dimensional rotational angiography for sizing of covered stents. AJR Am J Roentgenol 178:149–152

    Article  PubMed  Google Scholar 

  13. Pozzi Mucelli F, Bruni S, Doddi M, Cova M (2007) Virtual angioscopy by means of three-dimensional rotational angiography of the aortoiliac arteries. Radiol Med 112:420–434

    Article  CAS  PubMed  Google Scholar 

  14. Pozzi-Mucelli F, Calgaro A, Belgrano M, Cernic S, Pozzi-Mucelli R (2004) Virtual stenting of iliac arteries: a new technique for choosing stents and stent-grafts by means of 3D rotational angiography. Preliminary data. Radiol Med 108:494–502

    PubMed  Google Scholar 

  15. Pozzi Mucelli F, Latini I, Dibilio D, Pozzi Mucelli R (2003) Rotational angiography of the femoropopliteal arteries after percutaneous transluminal angioplasty: technical aspects and preliminary results. Radiol Med 106:213–220

    PubMed  Google Scholar 

  16. Tacher V, Lin M, Desgranges P, Deux JF, Grünhagen T, Becquemin JP (2013) Image guidance for endovascular repair of complex aortic aneurysms: comparison of two-dimensional and three-dimensional angiography and image fusion. J Vasc Interv Radiol 24:1698–1706

    Article  PubMed Central  PubMed  Google Scholar 

  17. Angle JF, Siddiqi NH, Wallace MJ, Kundu S, Stokes L, Wojak JC et al (2010) Quality improvement guidelines for percutaneous transcatheter embolization: Society of Interventional Radiology Standards of Practice Committee. J Vasc Interv Radiol 21:1479–1486

    Article  PubMed  Google Scholar 

  18. Hirai T, Korogi Y, Suginohara K, Ono K, Nishi T, Uemura S et al (2003) Clinical usefulness of unsubtracted 3D digital angiography compared with rotational digital angiography in the pretreatment evaluation of intracranial aneurysms. AJNR Am J Neuroradiol 24:1067–1074

    PubMed  Google Scholar 

  19. Anxionnat R, Bracard S, Macho J, Da Costa E, Vaillant R, Launay L et al (1998) 3D angiography. Clinical interest. First applications in interventional neuroradiology. J Neuroradiol 25:251–262

    CAS  PubMed  Google Scholar 

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Acknowledgments

The scientific guarantor of this publication is Marco Midulla MD, PhD. The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article. The authors state that this work has not received any funding. No complex statistical methods were necessary for this paper. Institutional Review Board approval was not required because this is a retrospective study involving current medical practice. Written informed consent was obtained from all subjects (patients) in this study. Methodology: retrospective, observational, performed at one institution.

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Authors and Affiliations

  1. Vascular Interventional Radiology, Centre Hospitalier Régional Universitaire de Lille, Lille, France

    Mohammad Saeed Kilani & Marco Midulla

  2. Department of Radiology, Centre Hospitalier Régional Universitaire de Lille, Lille, France

    Marc Haberlay, Antonin Bergère, Colm Murphy & Jean Pierre Pruvo

  3. Vascular Surgery, Centre Hospitalier Régional Universitaire de Lille, Lille, France

    Jonathan Sobocinski & Stephan Haulon

  4. Interventional Radiology, Ospedale Regionale di Lugano, sede Civico, Lugano, Switzerland

    Jos C. van den Berg

  5. Cardiovascular Imaging, Interventional Radiology and Interventional Oncology, Centre Hospitalier de Valenciennes, 59300, Valenciennes, France

    Marco Midulla

  6. Vascular Surgery, Guy’s and St. Thomas’ Hospitals, London, UK

    Tommaso Donati

Authors
  1. Mohammad Saeed Kilani
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  2. Marc Haberlay
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  3. Antonin Bergère
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  4. Colm Murphy
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  5. Jonathan Sobocinski
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  6. Tommaso Donati
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  7. Jean Pierre Pruvo
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  8. Stephan Haulon
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  9. Jos C. van den Berg
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  10. Marco Midulla
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Correspondence to Marco Midulla.

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Saeed Kilani, M., Haberlay, M., Bergère, A. et al. 3D rotational angiography in the endovascular treatment of visceral aneurysms: preliminary experience in a single centre. Eur Radiol 26, 87–94 (2016). https://doi.org/10.1007/s00330-015-3820-2

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  • DOI: https://doi.org/10.1007/s00330-015-3820-2

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