CT-fusion-guided thoracic endovascular aortic repair: Case report and literature review

Авторы

  • Антон Хильчук Saint Petersburg State University
  • Артём Пайвин City Hospital no. 40, 9, ul. Borisova, Sestroretsk, St. Petersburg, 197706, Russian Federation
  • Сергей Щербак St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
  • Валентин Гурьев City Hospital no. 40, 9, ul. Borisova, Sestroretsk, St. Petersburg, 197706, Russian Federation
  • Евгений Кармазанашвили City Hospital no. 26, 2, ul. Kostyushko, St. Petersburg, 196247, Russian Federation
  • Дмитрий Лазакович City Hospital no. 40, 9, ul. Borisova, Sestroretsk, St. Petersburg, 197706, Russian Federation

DOI:

https://doi.org/10.21638/spbu11.2021.305

Аннотация

Interventional and hybrid methods of treatment, combining open surgical and endovascular repairs, are the most promising areas in the surgery of the thoracoabdominal aorta. Recent studies, however, have demonstrated that complex thoracic endovascular aneurysm repair (TEVAR) is one of the most high-dose endovascular interventions. In addition, TEVAR is associated with the use of a significant volume of contrast media (CM), which can lead to contrast-induced acute kidney injury (CI-AKI). The use of advanced imaging techniques and computed tomographic fusion (CT-fusion) in routine practice can potentially reduce operation duration, radiation exposure and CM volume usage. We analyzed the literature on CTfusion
in endovascular aortic repair and present a clinical case of a 50-year-old male with a history of concomitant blunt chest trauma. CT of the chest revealed an aneurysm of the arch and descending aorta after traumatic dissection of the aorta (IIIa DeBakey, type B Stanford), post-traumatic diaphragmatic hernia of the left dome of the diaphragm with stomach and intestinal loops prolapse. The patient underwent a staged hybrid intervention — subtotal aortic arch debranching followed by CT-fusion-guided semi-arch TEVAR. CT-fusion is a dynamically developing technology, may reduce the CM volume, the duration of the procedure and
radiation exposure and requires further research.

Ключевые слова:

aorta, aorta, endovascular aortic repair, aortic aneurysm, computed tomography, CT‑fusion

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References

Isselbacher E. M. Thoracic and abdominal aortic aneurysms. Circulation, 2005, vol. 111, pp. 816–28.

Kim Z. F., Khasanov N. R. Acute chest diseases in the recommendations of the European Society of Cardiology. Bulletin of modern clinical medicine, 2014, vol. 7, no. 2, pp. 85–92.

Podzolkov V. I., Vargina T. S. Acute aortic syndrome. Clinical Medicine, 2017, vol. 95, no. 9, pp. 855–861.

Borst H. G., Walterbusch G., Schaps D. Extensive aortic replacement using “elephant trunk” prosthesis.Thorac. Cardiovasc. Surg., 1983, vol. 31, pp. 37–40.

Cozijnsen L., Braam R. L., Waalewijn R. What is new in dilatation of the ascending aorta? Review of current literature and practical advice for the cardiologist. Circulation, 2011, vol. 123, pp. 924–928.

Yuan S., Jing H. Cystic medial necrosis: pathological findings and clinical implications. Rev. Bras. Cir. Cardiovasc., 2011, vol. 26, no. 1, pp. 107–115.

Belov Yu. V., Stepanenko A. B., Gens A. P., Savichev D. D. Surgical treatment of false posttraumatic aneurysm of the aortic arch with aortovenous fistula. Angiol Sosud Khir., 2006, vol. 12, no. 2, pp. 127–131.

Detaint D., Michelena H. I., Nkomo V. T., Vahanian A., Jondeau G., Sarano M. E. Aortic dilatation patterns and rates in adults with bicuspid aortic valves: a comparative study with Marfan syndrome and degenerative aortopathy. Heart, 2014, vol. 100, pp. 126–134.

Fabian T. C., Richardson J. D., Croce M. A. Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. J. Trauma, 1997, vol. 42, pp. 374–380.

Gavant M. L., Helical C. T. Grading of traumatic aortic injuries: impact on clinical guidelines for medical and surgical management. Radiol. Clin. North. Am., 1999, vol. 37, pp. 553–574.

Ott M. C., Stewart T. C., Lawlor D. K. Management of blunt thoracic aortic injuries: endovascular stents versus open repair. J. Trauma, 2004, vol. 56, no. 3, pp. 565–570.

Quinones-Baldrich W. J., Panetta T. F., Vescera C. L. Repair of type IV thoracoabdominal aneurysm with a combined endovascular and surgical approach. J. Vasc. Surg., 1999, vol. 30, no. 3, pp. 555–560.

Nishi H., Mitsuno M., Tanaka H. Spinal cord injury in patients undergoing total arch replacement: a cautionary note for use of the long elephant technique. J. Thorac. Cardiovasc. Surg., 2011, vol. 142,pp. 1084–1089.

Shahverdyan R. Triple-barrel Graft as a Novel Strategy to Preserve Supra-aortic Branches in Arch-TEVAR Procedures: Clinical Study and Systematic Review. Eur. J. Vasc. and Endovasc. Surg., 2013, vol. 45, no. 1, pp. 28–35.

Quinones-Baldrich W., Jimenez J. C., DeRubertis B., Moore W. S. Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: a 10-year experience. J. Vasc. Surg., 2009,vol. 49, pp. 1125–1134.

Patel H. J., Upchurch G. R., Eliason J. L. Hybrid debranching with endovascular repair for thoracoabdominal aneurysms: a comparison with open repair. Ann. Thorac. Surg., 2010, vol. 89, pp. 1475–1481.

Drinkwater S. L., Goebells A., Haydar A. The incidence of spinal cord ischemia following thoracic and thoracoabdominal endovascular intervention. Eur. J. Vasc. Endovasc. Surg., 2010, vol. 40, pp. 729–735.

Erbel R., Aboyans V., Boileau C., Bossone E., Bartolomeo R. D., Eggebrecht H., Evangelista A., Falk V., Frank H., Gaemperli O., Grabenwöger M., Haverich A., Iung B., Manolis A. J., Meijboom F., Nienaber C. A., Roffi M., Rousseau H., Sechtem U., Sirnes P. A., Allmen R. S., Vrints C. J. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur. Heart J., 2014, vol. 35, no. 41, pp. 2873–2926.

Marullo A. G., Bichi S., Pennetta R. A. Hybrid aortic arch debranching with staged endovascular completion in DeBakey type I aortic dissection. Ann. Thorac. Surg., 2010, vol. 90, no. 6, pp. 1847–1853.

Hertault A., Maurel B., Sobocinski J. Impact of hybrid rooms with image fusion on radiation exposure during endovascular aortic repair. Eur. J. Vasc. Endovasc. Surg., 2014, vol. 48, pp. 382–390.

Kobeiter H., Nahum J., Becquemin J. P. Zero-contrast thoracic endovascular aortic repair using image fusion. Circulation, 2011, vol. 124, pp. 280–282.

McNally M. M., Scali S. T., Feezor R. J. Three-dimensional fusion computed tomography decreases radiation exposure, procedure time, and contrast use during fenestrated endovascular aortic repair.J. Vasc. Surg., 2015, vol. 61, pp. 309–316.

Carrell TWG, Modarai B, Brown JRI, Penney GP. Feasibility and limitations of an automated 2D‑3D rigid image registration 74 system for complex endovascular aortic procedures. J. Endovasc. Ther.,2010, vol. 17, no. 4, pp. 527–533.

Fukuda T., Matsuda H., Doi S., Sugiyama M., Morita Y., Yamada M. Evaluation of automated 2D-3D image overlay system utilizing subtraction of bone marrow image for EVAR: feasibility study. Eur. J. Vasc. Endovasc. Surg. England, 2013, vol. 46, no. 1, pp. 75–81.

Schulz C. J., Schmitt M., Böckler D., Geisbüsch P. Fusion Imaging to Support Endovascular Aneurysm Repair Using 3D-3D Registration. J. Endovasc. Ther., 2016, vol. 23, no. 5, pp. 791–799.

Schulz C. J., Schmitt M., Böckler D., Geisbüsch P. Feasibility, and accuracy of fusion imaging during thoracic endovascular aortic repair. J. Vasc. Surg. Society for Vascular Surgery, 2016, vol. 63, no. 2,pp. 314–322.

Kauffmann C., Douane F., Therasse E., Lessard S., Elkouri S., Gilbert P. Source of errors and accuracy of a two-dimensional/three-dimensional fusion road map for endovascular aneurysm repair of abdominal aortic aneurysm. J. Vasc. Interv Radiol., 2015, vol. 26, no. 4, pp. 544–551.

Khwaja A. KDIGO clinical practice guidelines for acute kidney injury. Nephron. Clin. Pract., 2012, vol. 120, no. 4, pp. 179–184.

Загрузки

Опубликован

30.09.2021

Как цитировать

Хильчук, А., Пайвин , А. ., Щербак, С., Гурьев, . В. ., Кармазанашвили, Е. ., & Лазакович, Д. . (2021). CT-fusion-guided thoracic endovascular aortic repair: Case report and literature review. Вестник Санкт-Петербургского университета. Медицина, 16(3), 180–189. https://doi.org/10.21638/spbu11.2021.305

Выпуск

Том 16 № 3 (2021)

Раздел

Кардиология

Лицензия

Статьи журнала «Вестник Санкт-Петербургского университета. Медицина» находятся в открытом доступе и распространяются в соответствии с условиями Лицензионного Договора с Санкт-Петербургским государственным университетом, который бесплатно предоставляет авторам неограниченное распространение и самостоятельное архивирование.

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