Semiautomatic Sizing Software in Emergency Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysms
| Autor: | Diederick W. De Boo, Anco C. Vahl, Henk A. Marquering, Michiel A. Schreve, Dink A. Legemate, Willem Wisselink, J.J. Reimerink, Jim A. Reekers, Ron Balm |
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| Přispěvatelé: | Surgery, ICaR - Ischemia and repair, Other departments, Amsterdam Cardiovascular Sciences, Amsterdam Neuroscience, Biomedical Engineering and Physics, Radiology and Nuclear Medicine, 02 Surgical specialisms |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Aortic Rupture medicine.medical_treatment Contrast Media Lumen (anatomy) Prosthesis Design Endovascular aneurysm repair Blood Vessel Prosthesis Implantation Aortic aneurysm Imaging Three-Dimensional Interquartile range medicine Humans Radiology Nuclear Medicine and imaging Emergency Treatment Netherlands Computed tomography angiography medicine.diagnostic_test business.industry Fitness for purpose Ultrasound medicine.disease Confidence interval Blood Vessel Prosthesis Female Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Software Aortic Aneurysm Abdominal |
| Zdroj: | CardioVascular and Interventional Radiology, 37(3), 623-630. Springer Verlag Reimerink, J J, Marquering, H A, Vahl, A, Wisselink, W, Schreve, M A, De Boo, D W, Reekers, J A, Legemate, D A & Balm, R 2014, ' Semiautomatic Sizing Software in Emergency Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysms ', CardioVascular and Interventional Radiology, vol. 37, no. 3, pp. 623-630 . https://doi.org/10.1007/s00270-013-0757-1 Cardiovascular and interventional radiology, 37(3), 623-630. Springer Verlag |
| ISSN: | 0174-1551 |
| DOI: | 10.1007/s00270-013-0757-1 |
| Popis: | In emergency endovascular repair (EVAR) of ruptured aneurysms of the aorta (rAAA), anatomical suitability must be determined. Semiautomatic three-dimensional assessment of the aortoiliac arteries has the potential to standardise measurements. This study assesses the fitness for purpose of such a semiautomatic approach for rAAA and determined interobserver agreement on suitability. Interobserver study with six trained observers (4 vascular surgeons, 2 radiologists) blindly assessing preoperative computed tomography angiography scans of 50 consecutive patients with rAAA. A central lumen line (CLL) was generated, and perpendicular diameters, length along the CLL, and EVAR suitability were determined using dedicated sizing software (3mensio; 3mensio Vascular; Bilthoven, The Netherlands). Success of generating a CLL, time of assessment, and interobserver agreement was determined. In the majority of the patients (median 76 %, range 64–78 %), a CLL was semiautomatically generated. The median duration of CLL generation and performance measurements was 7.5 min (interquartile range 5.5–10.6). Agreement on suitability was moderate for the entire group (Fleiss’ κ = 0.55, confidence interval 0.48–0.62) and ranged from moderate to good (Cohen’s κ = 0.40–0.72) between observer pairs. Assessing EVAR suitability of rAAA patients using dedicated sizing software is possible in the majority of patients. The measurements can be performed in a reasonable amount of time, and the agreement of suitability for EVAR in patients with rAAA is moderate. Improvements and additional research are necessary to replace the current axial measurement. |
| Databáze: | OpenAIRE |
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