Analysis of Preoperative CT Scan Can Help Predict Technical Failure of Endovascular Treatment of TASC C-D Aortoiliac Chronic Total Occlusions
| Autor: | Patrick Lermusiaux, Jérémy Charles, Nellie Della Schiava, Joris Giai, Matthieu Arsicot, Iris Naudin, Antoine Millon, Philippe Tresson, Marine Bordet, Philip Robinson |
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| Přispěvatelé: | Hospices Civils de Lyon (HCL), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon, CarMeN, laboratoire, Modélisation et Évaluation des données complexes en Santé Publique (TIMC-MESP), Translational Innovation in Medicine and Complexity / Recherche Translationnelle et Innovation en Médecine et Complexité - UMR 5525 (TIMC ), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP ), Université Grenoble Alpes (UGA)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP ), Université Grenoble Alpes (UGA), Centre Hospitalier Universitaire [Grenoble] (CHU) |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Computed Tomography Angiography [SDV]Life Sciences [q-bio] Technical failure Aortic Diseases Computed tomography Rupture rate Constriction Pathologic 030204 cardiovascular system & hematology Aortography Iliac Artery Risk Assessment 030218 nuclear medicine & medical imaging 03 medical and health sciences Peripheral Arterial Disease 0302 clinical medicine Predictive Value of Tests Risk Factors medicine.artery Occlusion medicine Humans Treatment Failure Endovascular treatment Risk factor Aged Retrospective Studies medicine.diagnostic_test business.industry Endovascular Procedures External iliac artery General Medicine Middle Aged 3. Good health [SDV] Life Sciences [q-bio] Protrusive occlusion Chronic Disease Surgery Female Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Vascular Surgery Annals of Vascular Surgery, Elsevier Masson, 2020, 72, pp.276-283. ⟨10.1016/j.avsg.2020.08.108⟩ Annals of Vascular Surgery, 2021, 72, pp.276-283. ⟨10.1016/j.avsg.2020.08.108⟩ |
| ISSN: | 1615-5947 0890-5096 |
| DOI: | 10.1016/j.avsg.2020.08.108⟩ |
| Popis: | International audience; BACKGROUND AND AIMS: To evaluate if features of occlusion analyzable on preoperative computed tomography scan could predict risks of technical failure or iliac rupture of endovascular treatment of TransAtlantic InterSociety Consensus C-D aortoiliac chronic total occlusion. METHODS AND RESULTS: All patients treated by endovascular techniques for a TransAtlantic InterSociety Consensus C-D aortoiliac chronic total occlusion between 2009 and 2016 were included (107 patients, 148 iliac arteries). We evaluated the location of the occlusion and the importance of the arterial calcifications. For this factor, patients were divided into 3 groups: the Black occlusion group with mild or no calcifications, the white occlusion group with moderate no protrusive calcifications, and the white protrusive occlusion group with heavy endoluminal calcifications. Technical failure occurred in 11 iliac arteries and peroperative iliac rupture in 6. The location in the external iliac artery is the most significate risk factor of technical failure in univariate (OR = 9.93; P = 0.0012) and multivariate analysis (OR = 15.26; P = 0.0006). The presence of heavy endoluminal calcifications is a further significate risk factor (OR = 13.88; P = 0.0365). Rupture rate was comparable between the 3 groups. CONCLUSIONS: Preoperative computed tomography scan can predict risk of technical failure but not of iliac rupture. |
| Databáze: | OpenAIRE |
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