Computed tomographic angiography allows accurate planning of the setting and technique of open and percutaneous vascular interventions - 18/08/11
Corresponding author. Tel.: +1-502-852-5415; fax: +1-502-852-8915.Abstract |
Background |
Vascular surgeons can offer patients with arterial and venous disorders a multitude of endovascular and surgical options. Computed tomographic angiography (CTA) has the potential to allow the development of an effective interventional strategy without subjecting patients to invasive diagnostic testing.
Methods |
A prospectively maintained database was reviewed comprising 6 consecutive months of arterial and venous procedures performed using an algorithm emphasizing CTA supplemented with other noninvasive imaging.
Results |
Eighty-five patients underwent 90 arterial or venous procedures, the majority of which were based on CTA. Preprocedure plans matched a successful intervention in 35 of 40 (88%) procedures performed in the interventional suite, and 48 of 49 (98%) procedures performed in the surgical suite. Two of 40 patients treated initially in the interventional suite eventually required a surgical vascular procedure. The majority of procedures were therapeutic (86%) rather than diagnostic (14%).
Conclusions |
An algorithm using CTA and supplemented with other noninvasive imaging allows safe and effective planning for open surgical and endovascular procedures.
Le texte complet de cet article est disponible en PDF.Keywords : Computed tomography, Endovascular surgery, Vascular surgery, angiography
Plan
Vol 190 - N° 2
P. 218-220 - août 2005 Retour au numéro
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