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Computed Tomography/Computed Tomography Angiography for Evaluation, Planning, and Surveillance of Complex Endovascular Repair

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Abstract

Computed tomography angiography (CTA) is essential to evaluate, plan, and follow complex endovascular aortic repair. Techniques of fenestrated, branched, and parallel stent-grafts continue to evolve and rely on precise measurements of the aortic anatomy. Recent advances with lower radiation and contrast protocols may reduce some of the risks and limitations of CTA. This chapter summarizes basic concepts, established protocols, innovations, and key findings on surveillance of fenestrated and branched endografts using CTA.

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Suggested Reading

  1. Picel AC, Kansal N. Essentials of endovascular abdominal aortic aneurysm repair imaging: preprocedural assessment. AJR Am J Roentgenol. 2014;203(4):W347–57.

    Article  PubMed  Google Scholar 

  2. Picel AC, Kansal N. Essentials of endovascular abdominal aortic aneurysm repair imaging: postprocedure surveillance and complications. AJR Am J Roentgenol. 2014;203(4):W358–72.

    Article  PubMed  Google Scholar 

  3. Rossi M, Iezzi R. Cardiovascular and Interventional Radiological Society of Europe guidelines on endovascular treatment in aortoiliac arterial disease. Cardiovasc Intervent Radiol. 2014;37(1):13–25.

    Article  PubMed  Google Scholar 

  4. Wadgaonkar AD, Black III JH, Weihe EK, Zimmerman SL, Fishman EK, Johnson PT. Abdominal aortic aneurysms revisited: MDCT with multiplanar reconstructions for identifying indicators of instability in the pre- and postoperative patient. Radiographics. 2015;35(1):254–68.

    Article  PubMed  Google Scholar 

  5. Kalva SP, Dill KE, Bandyk DF, et al. ACR Appropriateness Criteria(R) nontraumatic aortic disease. J Thorac Imaging. 2014;29:W85–8.

    Article  PubMed  Google Scholar 

  6. Ambler GK, Coughlin PA, Hayes PD, Varty K, Gohel MS, Boyle JR. Incidence and outcomes of severe renal impairment following ruptured abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2015;50(4):443–9.

    Article  CAS  PubMed  Google Scholar 

  7. Goldfarb S, McCullough PA, McDermott J, Gay SB. Contrast-induced acute kidney injury: specialty-specific protocols for interventional radiology, diagnostic computed tomography radiology, and interventional cardiology. Mayo Clin Proc. 2009;84:170–9.

    Article  PubMed  PubMed Central  Google Scholar 

  8. McDonald RJ, McDonald JS, Carter RE, et al. Intravenous contrast material exposure is not an independent risk factor for dialysis or mortality. Radiology. 2014;273:714–25.

    Article  PubMed  Google Scholar 

  9. Yu L, Fletcher JG, Grant KL, Carter RE, Hough DM, Barlow JM, et al. Automatic selection of tube potential for radiation dose reduction in vascular and contrast-enhanced abdominopelvic CT. AJR Am J Roentgenol. 2013;201(2):W297–306.

    Article  PubMed  Google Scholar 

  10. McCollough CH, Primak AN, Braun N, Kofler J, Yu L, Christner J. Strategies for reducing radiation dose in CT. Radiol Clin North Am. 2009;47:27–40.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Yu L, Li H, Fletcher JG, McCollough CH. Automatic selection of tube potential for radiation dose reduction in CT: a general strategy. Med Phys. 2010;37:234–43.

    Article  PubMed  Google Scholar 

  12. Buls N, Van Gompel G, Van Cauteren T, et al. Contrast agent and radiation dose reduction in abdominal CT by a combination of low tube voltage and advanced image reconstruction algorithms. Eur Radiol. 2015;25:1023–31.

    Article  PubMed  Google Scholar 

  13. Winklehner A, Goetti R, Baumueller S, et al. Automated attenuation-based tube potential selection for thoracoabdominal computed tomography angiography: improved dose effectiveness. Invest Radiol. 2011;46:767–73.

    Article  CAS  PubMed  Google Scholar 

  14. Petersilka M, Bruder H, Krauss B, Stierstorfer K, Flohr TG. Technical principles of dual source CT. Eur J Radiol. 2008;68:362–8.

    Article  PubMed  Google Scholar 

  15. Megibow AJ, Sahani D. Best practice: implementation and use of abdominal dual-energy CT in routine patient care. AJR Am J Roentgenol. 2012;199:S71–7.

    Article  PubMed  Google Scholar 

  16. Sommer WH, Graser A, Becker CR, et al. Image quality of virtual noncontrast images derived from dual-energy CT angiography after endovascular aneurysm repair. J Vasc Interv Radiol. 2010;21(3):315–21.

    Article  PubMed  Google Scholar 

  17. Flors L, Leiva-Salinas C, Norton PT, Patrie JT, Hagspiel KD. Endoleak detection after endovascular repair of thoracic aortic aneurysm using dual-source dual-energy CT: suitable scanning protocols and potential radiation dose reduction. AJR Am J Roentgenol. 2013;200(2):451–60.

    Article  PubMed  Google Scholar 

  18. Chandarana H, Godoy MC, Vlahos I, et al. Abdominal aorta: evaluation with dual-source dual-energy multidetector CT after endovascular repair of aneurysms—initial observations. Radiology. 2008;249(2):692–700.

    Article  PubMed  Google Scholar 

  19. Stolzmann P, Frauenfelder T, Pfammatter T, et al. Endoleaks after endovascular abdominal aortic aneurysm repair: detection with dual-energy dual-source CT. Radiology. 2008;249(2):682–91.

    Article  PubMed  Google Scholar 

  20. Ascenti G, Mazziotti S, Lamberto S, et al. Dual-energy CT for detection of endoleaks after endovascular abdominal aneurysm repair: usefulness of colored iodine overlay. AJR Am J Roentgenol. 2011;196(6):1408–14.

    Article  PubMed  Google Scholar 

  21. Maturen KE, Kaza RK, Liu PS, Quint LE, Khalatbari SH, Platt JF. “Sweet spot” for endoleak detection: optimizing contrast to noise using low keV reconstructions from fast-switch kVp dual-energy CT. J Comput Assist Tomogr. 2012;36(1):83–7.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Albrecht MH, Scholtz JE, Husers K, et al. Advanced image-based virtual monoenergetic dual-energy CT angiography of the abdomen: optimization of kiloelectron volt settings to improve image contrast. Eur Radiol. 2016;26(6):1863–70.

    Article  PubMed  Google Scholar 

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Correspondence to Terri J. Vrtiska .

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© 2017 Mayo Foundation for Medical Education and Research

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Vrtiska, T.J., Macedo, T.A., Oderich, G.S. (2017). Computed Tomography/Computed Tomography Angiography for Evaluation, Planning, and Surveillance of Complex Endovascular Repair. In: Oderich, G. (eds) Endovascular Aortic Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-15192-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-15192-2_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15191-5

  • Online ISBN: 978-3-319-15192-2

  • eBook Packages: MedicineMedicine (R0)

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