Imaging of Aortic Aneurysms:What Do We Need to Know and Which Techniques Should Be Chosen?

  • Chapter
  • First Online:
Multi-Modality Atherosclerosis Imaging and Diagnosis
  • 1247 Accesses

Abstract

Preoperative aortic aneurysm imaging has traditionally primarily involved assessment of the aneurysm size that has been the main determinant of the rupture risk. Aneurysm diameter has therefore been the primary criteria for elective aneurysm repair. The wide use of endovascular aneurysm repair (EVAR) has led to higher demands on the imaging of aortic aneurysms. The planning of EVAR requires high-definition 3D imaging and the method of choice is currently contrast-enhanced CT scanning. Post-processing workstations are essential to be able to extract maximum information from the imaging data, including the planning of EVAR.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (France)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 160.49
Price includes VAT (France)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 210.99
Price includes VAT (France)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
EUR 210.99
Price includes VAT (France)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC (1991) Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 13(3):452–458

    Article  PubMed  CAS  Google Scholar 

  2. Sterpetti AV, Schultz RD, Feldhaus RJ, Cheng SE, Peetz DJ Jr (1987) Factors influencing enlargement rate of small abdominal aortic aneurysms. J Surg Res 43(3):211–219

    Article  PubMed  CAS  Google Scholar 

  3. McGregor JC, Pollock JG, Anton HC (1975) The value of ultrasonography in the diagnosis of abdominal aortic aneurysm. Scott Med J 20(3):133–137

    PubMed  CAS  Google Scholar 

  4. Sonesson B, Hansen F, Stale H, Lanne T (1993) Compliance and diameter in the human abdominal aorta – the influence of age and sex. Eur J Vasc Surg 7(6):690–697

    Article  PubMed  CAS  Google Scholar 

  5. Sonesson B, Lanne T, Hansen F, Sandgren T (1994) Infrarenal aortic diameter in the healthy person. Eur J Vasc Surg 8(1):89–95

    Article  PubMed  CAS  Google Scholar 

  6. Lederle FA, Johnson GR, Wilson SE, Gordon IL, Chute EP, Littooy FN et al (1997) Relationship of age, gender, race, and body size to infrarenal aortic diameter. The Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperative Study Investigators. J Vasc Surg 26(4):595–601

    Article  PubMed  CAS  Google Scholar 

  7. Pearce WH, Slaughter MS, LeMaire S, Salyapongse AN, Feinglass J, McCarthy WJ et al (1993) Aortic diameter as a function of age, gender, and body surface area. Surgery 114(4):691–697

    PubMed  CAS  Google Scholar 

  8. Bergqvist D, Bengtsson H (1990) Risk factors for rupture of abdominal aortic aneurysm. Clinical review. Acta Chir Scand 156(1):63–68

    PubMed  CAS  Google Scholar 

  9. Bickerstaff LK, Hollier LH, Van Peenen HJ, Melton LJ 3rd, Pairolero PC, Cherry KJ (1984) Abdominal aortic aneurysms: the changing natural history. J Vasc Surg 1(1):6–12

    PubMed  CAS  Google Scholar 

  10. Nicholls SC, Gardner JB, Meissner MH, Johansen HK (1998) Rupture in small abdominal aortic aneurysms. J Vasc Surg 28(5):884–888

    Article  PubMed  CAS  Google Scholar 

  11. Karkos CD, Mukhopadhyay U, Papakostas I, Ghosh J, Thomson GJ, Hughes R (2000) Abdominal aortic aneurysm: the role of clinical examination and opportunistic detection. Eur J Vasc Endovasc Surg 19(3):299–303

    Article  PubMed  CAS  Google Scholar 

  12. Venkatasubramaniam AK, Mehta T, Chetter IC, Bryce J, Renwick P, Johnson B et al (2004) The value of abdominal examination in the diagnosis of abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 27(1):56–60

    Article  PubMed  CAS  Google Scholar 

  13. Fink HA, Lederle FA, Roth CS, Bowles CA, Nelson DB, Haas MA (2000) The accuracy of physical examination to detect abdominal aortic aneurysm. Arch Intern Med 160(6):833–836

    Article  PubMed  CAS  Google Scholar 

  14. Lederle FA, Simel DL (1999) The rational clinical examination. Does this patient have abdominal aortic aneurysm? JAMA 281(1):77–82

    Article  PubMed  CAS  Google Scholar 

  15. Beede SD, Ballard DJ, James EM, Ilstrup DM, Hallet JW Jr (1990) Positive predictive value of clinical suspicion of abdominal aortic aneurysm. Implications for efficient use of abdominal ultrasonography. Arch Intern Med 150(3):549–551

    Article  PubMed  CAS  Google Scholar 

  16. Chervu A, Clagett GP, Valentine RJ, Myers SI, Rossi PJ (1995) Role of physical examination in detection of abdominal aortic aneurysms. Surgery 117(4):454–457

    Article  PubMed  CAS  Google Scholar 

  17. Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M et al (2011) Management of abdominal aortic aneurysms clinical practice guidelines of the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg 41(Suppl 1):S1–S58

    Article  PubMed  Google Scholar 

  18. Volodos NL, Karpovich IP, Shekhanin VE, Troian VI, Iakovenko LF (1988) A case of distant transfemoral endoprosthesis of the thoracic artery using a self-fixing synthetic prosthesis in traumatic aneurysm. Grudn Khir Nov-Dec(6):84–86

    Google Scholar 

  19. Volodos NL, Karpovich IP, Troyan VI, Kalashnikova Yu V, Shekhanin VE, Ternyuk NE et al (1991) Clinical experience of the use of self-fixing synthetic prostheses for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. Vasa Suppl 33:93–95

    PubMed  CAS  Google Scholar 

  20. Parodi JC, Palmaz JC, Barone HD (1991) Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 5(6):491–499

    Article  PubMed  CAS  Google Scholar 

  21. Hodgson R, McWilliams RG, Simpson A, Gould DA, Brennan JA, Gilling-Smith GL et al (2003) Migration versus apparent migration: importance of errors due to positioning variation in plain radiographic follow-up of aortic stent-grafts. J Endovasc Ther 10(5):902–910

    Article  PubMed  Google Scholar 

  22. Murphy M, Hodgson R, Harris PL, McWilliams RG, Hartley DE, Lawrence-Brown MM (2003) Plain radiographic surveillance of abdominal aortic stent-grafts: the Liverpool/Perth protocol. J Endovasc Ther 10(5):911–912

    Article  PubMed  Google Scholar 

  23. Wilmink AB, Forshaw M, Quick CR, Hubbard CS, Day NE (2002) Accuracy of serial screening for abdominal aortic aneurysms by ultrasound. J Med Screen 9(3):125–127

    Article  PubMed  CAS  Google Scholar 

  24. Tayal VS, Graf CD, Gibbs MA (2003) Prospective study of accuracy and outcome of emergency ultrasound for abdominal aortic aneurysm over two years. Acad Emerg Med 10(8):867–871

    Article  PubMed  Google Scholar 

  25. Sprouse I, Richard L, Meier I, George H, LeSar CJ, DeMasi RJ, Sood J, Parent FN et al (2003) Comparison of abdominal aortic aneurysm diameter measurements obtained with ultrasound and computed tomography: is there a difference? J Vasc Surg 38(3):466–471

    Article  PubMed  Google Scholar 

  26. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW et al (1995) Variability in measurement of abdominal aortic aneurysms. Abdominal Aortic Aneurysm Detection and Management Veterans Administration Cooperative Study Group. J Vasc Surg 21(6):945–952

    Article  PubMed  CAS  Google Scholar 

  27. Manning BJ, Kristmundsson T, Sonesson B, Resch T (2009) Abdominal aortic aneurysm diameter: a comparison of ultrasound measurements with those from standard and three-dimensional computed tomography reconstruction. J Vasc Surg 50(2):263–268

    Article  PubMed  Google Scholar 

  28. Lindholt JS, Vammen S, Juul S, Henneberg EW, Fasting H (1999) The validity of ultrasonographic scanning as screening method for abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 17(6):472–475

    Article  PubMed  CAS  Google Scholar 

  29. Wilmink AB, Hubbard CS, Quick CR (1997) Quality of the measurement of the infrarenal aortic diameter by ultrasound. J Med Screen 4(1):49–53

    PubMed  CAS  Google Scholar 

  30. Beales L, Wolstenhulme S, Evans JA, West R, Scott DJ (2011) Reproducibility of ultrasound measurement of the abdominal aorta. Br J Surg 98(11):1517–1525

    Article  PubMed  CAS  Google Scholar 

  31. Grondal N, Bramsen MB, Thomsen MD, Rasmussen CB, Lindholt JS (2012) The cardiac cycle is a major contributor to variability in size measurements of abdominal aortic aneurysms by ultrasound. Eur J Vasc Endovasc Surg 43(1):30–33

    Article  PubMed  CAS  Google Scholar 

  32. Hartshorne TC, McCollum CN, Earnshaw JJ, Morris J, Nasim A (2011) Ultrasound measurement of aortic diameter in a national screening programme. Eur J Vasc Endovasc Surg 42(2):195–199

    Article  PubMed  CAS  Google Scholar 

  33. Dias NV, Riva L, Ivancev K, Resch T, Sonesson B, Malina M (2009) Is there a benefit of frequent CT follow-up after EVAR? Eur J Vasc Endovasc Surg 37(4):425–430

    Article  PubMed  CAS  Google Scholar 

  34. Mirza TA, Karthikesalingam A, Jackson D, Walsh SR, Holt PJ, Hayes PD et al (2010) Duplex ultrasound and contrast-enhanced ultrasound versus computed tomography for the detection of endoleak after EVAR: systematic review and bivariate meta-analysis. Eur J Vasc Endovasc Surg 39(4):418–428

    Article  PubMed  CAS  Google Scholar 

  35. Lindblad B, Dias N, Malina M, Ivancev K, Resch T, Hansen F et al (2004) Pulsatile wall motion (PWM) measurements after endovascular abdominal aortic aneurysm exclusion are not useful in the classification of endoleak. Eur J Vasc Endovasc Surg 28(6):623–628

    Article  PubMed  CAS  Google Scholar 

  36. Malina M, Länne T, Ivancev K, Lindblad B, Brunkwall J (1998) Reduced pulsatile wall motion of abdominal aortic aneurysms after endovascular repair. J Vasc Surg 27(4):624–631

    Article  PubMed  CAS  Google Scholar 

  37. Kaneda H, Ako J, Terashima M (2010) Intravascular ultrasound imaging for assessing regression and progression in coronary artery disease. Am J Cardiol 106(12):1735–1746

    Article  PubMed  Google Scholar 

  38. Garcia-Garcia HM, Gogas BD, Serruys PW, Bruining N (2011) IVUS-based imaging modalities for tissue characterization: similarities and differences. Int J Cardiovasc Imaging 27(2):215–224

    Article  PubMed  Google Scholar 

  39. van Essen JA, Gussenhoven EJ, Blankensteijn JD, Honkoop J, van Dijk LC, van Sambeek MR et al (2000) Three-dimensional intravascular ultrasound assessment of abdominal aortic aneurysm necks. J Endovasc Ther 7(5):380–388

    Article  PubMed  Google Scholar 

  40. Pearce BJ, Jordan WD Jr (2009) Using IVUS during EVAR and TEVAR: improving patient outcomes. Semin Vasc Surg 22(3):172–180

    Article  PubMed  Google Scholar 

  41. Koschyk DH, Nienaber CA, Knap M, Hofmann T, Kodolitsch YV, Skriabina V et al (2005) How to guide stent-graft implantation in type B aortic dissection? Comparison of angiography, transesophageal echocardiography, and intravascular ultrasound. Circulation 112(9 Suppl):I260–I264

    PubMed  Google Scholar 

  42. Rubin GD (2003) MDCT imaging of the aorta and peripheral vessels. Eur J Radiol 45(Suppl 1):S42–S49

    Article  PubMed  Google Scholar 

  43. Lloyd GM, Bown MJ, Norwood MG, Deb R, Fishwick G, Bell PR et al (2004) Feasibility of preoperative computer tomography in patients with ruptured abdominal aortic aneurysm: a time-to-death study in patients without operation. J Vasc Surg 39(4):788–791

    Article  PubMed  CAS  Google Scholar 

  44. Kristiansson M, Holmquist F, Nyman U (2010) Ultralow contrast medium doses at CT to diagnose pulmonary embolism in patients with moderate to severe renal impairment: a feasibility study. Eur Radiol 20(6):1321–1330

    Article  PubMed  Google Scholar 

  45. Shapiro MD (2009) Is the “triple rule-out” study an appropriate indication for cardiovascular CT? J Cardiovasc Comput Tomogr 3(2):100–103

    Article  PubMed  Google Scholar 

  46. van Keulen JW, van Prehn J, Prokop M, Moll FL, van Herwaarden JA (2009) Dynamics of the aorta before and after endovascular aneurysm repair: a systematic review. Eur J Vasc Endovasc Surg 38(5):586–596

    Article  PubMed  Google Scholar 

  47. Georgakarakos E, Ioannou CV, Papaharilaou Y, Kostas T, Katsamouris AN (2011) Computational evaluation of aortic aneurysm rupture risk: what have we learned so far? J Endovasc Ther 18(2):214–225

    Article  PubMed  Google Scholar 

  48. Rozenblit AM, Patlas M, Rosenbaum AT, Okhi T, Veith FJ, Laks MP et al (2003) Detection of endoleaks after endovascular repair of abdominal aortic aneurysm: value of unenhanced and delayed helical CT acquisitions. Radiology 227(2):426–433

    Article  PubMed  Google Scholar 

  49. Iezzi R, Cotroneo AR, Giammarino A, Spigonardo F, Storto ML (2011) Low-dose multidetector-row CT-angiography of abdominal aortic aneurysm after endovascular repair. Eur J Radiol 79(1):21–28

    Article  PubMed  CAS  Google Scholar 

  50. Ascenti G, Mazziotti S, Lamberto S, Bottari A, Caloggero S, Racchiusa S et al (2011) Dual-energy CT for detection of endoleaks after endovascular abdominal aneurysm repair: usefulness of colored iodine overlay. AJR Am J Roentgenol 196(6):1408–1414

    Article  PubMed  Google Scholar 

  51. Chandarana H, Godoy MC, Vlahos I, Graser A, Babb J, Leidecker C et al (2008) Abdominal aorta: evaluation with dual-source dual-energy multidetector CT after endovascular repair of aneurysms – initial observations. Radiology 249(2):692–700

    Article  PubMed  Google Scholar 

  52. Numburi UD, Schoenhagen P, Flamm SD, Greenberg RK, Primak AN, Saba OI et al (2010) Feasibility of dual-energy CT in the arterial phase: imaging after endovascular aortic repair. AJR Am J Roentgenol 195(2):486–493

    Article  PubMed  Google Scholar 

  53. Sommer WH, Graser A, Becker CR, Clevert DA, Reiser MF, Nikolaou K et al (2010) Image quality of virtual noncontrast images derived from dual-energy CT angiography after endovascular aneurysm repair. J Vasc Interv Radiol 21(3):315–321

    Article  PubMed  Google Scholar 

  54. Stolzmann P, Frauenfelder T, Pfammatter T, Peter N, Scheffel H, Lachat M et al (2008) Endoleaks after endovascular abdominal aortic aneurysm repair: detection with dual-energy dual-source CT. Radiology 249(2):682–691

    Article  PubMed  Google Scholar 

  55. van Keulen JW, Moll FL, van Herwaarden JA (2010) Tips and techniques for optimal stent graft placement in angulated aneurysm necks. J Vasc Surg 52(4):1081–1086

    Article  PubMed  Google Scholar 

  56. Higashiura W, Kichikawa K, Sakaguchi S, Tabayashi N, Taniguchi S, Uchida H (2009) Accuracy of centerline of flow measurement for sizing of the Zenith AAA endovascular graft and predictive factor for risk of inadequate sizing. Cardiovasc Intervent Radiol 32(3):441–448

    Article  PubMed  Google Scholar 

  57. Louis N, Bruguiere E, Kobeiter H, Desgranges P, Allaire E, Kirsch M et al (2010) Virtual angioscopy and 3D navigation: a new technique for analysis of the aortic arch after vascular surgery. Eur J Vasc Endovasc Surg 40(3):340–347

    Article  PubMed  CAS  Google Scholar 

  58. O’Neill S, Greenberg RK, Resch T, Bathurst S, Fleming D, Kashyap V et al (2006) An evaluation of centerline of flow measurement techniques to assess migration after thoracic endovascular aneurysm repair. J Vasc Surg 43(6):1103–1110

    Article  PubMed  Google Scholar 

  59. Lee JT, Aziz IN, Haukoos JS, Donayre CE, Walot I, Kopchok GE et al (2003) Volume regression of abdominal aortic aneurysms and its relation to successful endoluminal exclusion. J Vasc Surg 38(6):1254–1263

    Article  PubMed  Google Scholar 

  60. Wever JJ, Blankensteijn JD, Th M Mali WP, Eikelboom BC (2000) Maximal aneurysm diameter follow-up is inadequate after endovascular abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 20(2):177–182

    Article  PubMed  CAS  Google Scholar 

  61. Zhang Z, Nair SA, McMurry TJ (2005) Gadolinium meets medicinal chemistry: MRI contrast agent development. Curr Med Chem 12(7):751–778

    Article  PubMed  CAS  Google Scholar 

  62. Leung DA, Debatin JF (1997) Three-dimensional contrast-enhanced magnetic resonance angiography of the thoracic vasculature. Eur Radiol 7(7):981–989

    Article  PubMed  CAS  Google Scholar 

  63. Leung DA, Hany TF, Debatin JF (1998) Three-dimensional contrast-enhanced magnetic resonance angiography of the abdominal arterial system. Cardiovasc Intervent Radiol 21(1):1–10

    Article  PubMed  CAS  Google Scholar 

  64. Ludman CN, Yusuf SW, Whitaker SC, Gregson RH, Walker S, Hopkinson BR (2000) Feasibility of using dynamic contrast-enhanced magnetic resonance angiography as the sole imaging modality prior to endovascular repair of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 19(5):524–530

    Article  PubMed  CAS  Google Scholar 

  65. Haulon S, Lions C, McFadden EP, Koussa M, Gaxotte V, Halna P et al (2001) Prospective evaluation of magnetic resonance imaging after endovascular treatment of infrarenal aortic aneurysms. Eur J Vasc Endovasc Surg 22(1):62–69

    Article  PubMed  CAS  Google Scholar 

  66. Alerci M, Oberson M, Fogliata A, Gallino A, Vock P, Wyttenbach R (2009) Prospective, intraindividual comparison of MRI versus MDCT for endoleak detection after endovascular repair of abdominal aortic aneurysms. Eur Radiol 19(5):1223–1231

    Article  PubMed  Google Scholar 

  67. van der Laan MJ, Bartels LW, Viergever MA, Blankensteijn JD (2006) Computed tomography versus magnetic resonance imaging of endoleaks after EVAR. Eur J Vasc Endovasc Surg 32(4):361–365

    Article  PubMed  Google Scholar 

  68. Cornelissen SA, Prokop M, Verhagen HJ, Adriaensen ME, Moll FL, Bartels LW (2010) Detection of occult endoleaks after endovascular treatment of abdominal aortic aneurysm using magnetic resonance imaging with a blood pool contrast agent: preliminary observations. Invest Radiol 45(9):548–553

    Article  PubMed  CAS  Google Scholar 

  69. Ersoy H, Jacobs P, Kent CK, Prince MR (2004) Blood pool MR angiography of aortic stent-graft endoleak. AJR Am J Roentgenol 182(5):1181–1186

    Article  PubMed  Google Scholar 

  70. Sadowski EA, Bennett LK, Chan MR, Wentland AL, Garrett AL, Garrett RW et al (2007) Nephrogenic systemic fibrosis: risk factors and incidence estimation. Radiology 243(1):148–157

    Article  PubMed  Google Scholar 

  71. Abu-Alfa AK (2011) Nephrogenic systemic fibrosis and gadolinium-based contrast agents. Adv Chronic Kidney Dis 18(3):188–198

    Article  PubMed  Google Scholar 

  72. Saida T, Mori K, Sato F, Shindo M, Takahashi H, Takahashi N et al (2012) Prospective intraindividual comparison of unenhanced magnetic resonance imaging vs contrast-enhanced computed tomography for the planning of endovascular abdominal aortic aneurysm repair. J Vasc Surg 55(3):679–687

    Article  PubMed  Google Scholar 

  73. van der Laan MJ, Bartels LW, Bakker CJ, Viergever MA, Blankensteijn JD (2004) Suitability of 7 aortic stent-graft models for MRI-based surveillance. J Endovasc Ther 11(4):366–371

    Article  PubMed  Google Scholar 

  74. Howarth SP, Tang TY, Graves MJ, U-King-Im JM, Li ZY, Walsh SR et al (2007) Non-invasive MR imaging of inflammation in a patient with both asymptomatic carotid atheroma and an abdominal aortic aneurysm: a case report. Ann Surg Innov Res 1:4

    Article  PubMed  Google Scholar 

  75. Richards JM, Semple SI, MacGillivray TJ, Gray C, Langrish JP, Williams M et al (2011) Abdominal aortic aneurysm growth predicted by uptake of ultrasmall superparamagnetic particles of iron oxide: a pilot study. Circ Cardiovasc Imaging 4(3):274–281

    Article  PubMed  Google Scholar 

  76. Sadat U, Taviani V, Patterson AJ, Young VE, Graves MJ, Teng Z et al (2011) Ultrasmall superparamagnetic iron oxide-enhanced magnetic resonance imaging of abdominal aortic aneurysms – a feasibility study. Eur J Vasc Endovasc Surg 41(2):167–174

    Article  PubMed  CAS  Google Scholar 

  77. Truijers M, Futterer JJ, Takahashi S, Heesakkers RA, Blankensteijn JD, Barentsz JO (2009) In vivo imaging of the aneurysm wall with MRI and a macrophage-specific contrast agent. AJR Am J Roentgenol 193(5):W437–W441

    Article  PubMed  Google Scholar 

  78. Merkx MA, van’t Veer M, Speelman L, Breeuwer M, Buth J, van de Vosse FN (2009) Importance of initial stress for abdominal aortic aneurysm wall motion: dynamic MRI validated finite element analysis. J Biomech 42(14):2369–2373

    Article  PubMed  CAS  Google Scholar 

  79. van der Laan MJ, Bakker CJ, Blankensteijn JD, Bartels LW (2006) Dynamic CE-MRA for endoleak classification after endovascular aneurysm repair. Eur J Vasc Endovasc Surg 31(2):130–135

    Article  PubMed  Google Scholar 

  80. van Herwaarden JA, Bartels LW, Muhs BE, Vincken KL, Lindeboom MY, Teutelink A et al (2006) Dynamic magnetic resonance angiography of the aneurysm neck: conformational changes during the cardiac cycle with possible consequences for endograft sizing and future design. J Vasc Surg 44(1):22–28

    Article  PubMed  Google Scholar 

  81. van Prehn J, Vincken KL, Sprinkhuizen SM, Viergever MA, van Keulen JW, van Herwaarden JA et al (2009) Aortic pulsatile distention in young healthy volunteers is asymmetric: analysis with ECG-gated MRI. Eur J Vasc Endovasc Surg 37(2):168–174

    Article  PubMed  Google Scholar 

  82. Eggebrecht H, Kuhl H, Kaiser GM, Aker S, Zenge MO, Stock F et al (2006) Feasibility of real-time magnetic resonance-guided stent-graft placement in a swine model of descending aortic dissection. Eur Heart J 27(5):613–620

    Article  PubMed  Google Scholar 

  83. Raman VK, Karmarkar PV, Guttman MA, Dick AJ, Peters DC, Ozturk C et al (2005) Real-time magnetic resonance-guided endovascular repair of experimental abdominal aortic aneurysm in swine. J Am Coll Cardiol 45(12):2069–2077

    Article  PubMed  Google Scholar 

  84. Wyers MC, Fillinger MF, Schermerhorn ML, Powell RJ, Rzucidlo EM, Walsh DB et al (2003) Endovascular repair of abdominal aortic aneurysm without preoperative arteriography. J Vasc Surg 38(4):730–738

    Article  PubMed  Google Scholar 

  85. Beebe HG, Kritpracha B, Serres S, Pigott JP, Price CI, Williams DM (2000) Endograft planning without preoperative arteriography: a clinical feasibility study. J Endovasc Ther 7(1):8–15

    Article  PubMed  CAS  Google Scholar 

  86. Maurel B, Sobocinski J, Perini P, Guillou M, Midulla M, Azzaoui R et al (2012) Evaluation of radiation during EVAR performed on a mobile C-arm. Eur J Vasc Endovasc Surg 43(1):16–21

    Article  PubMed  CAS  Google Scholar 

  87. Walker TG, Kalva SP, Ganguli S, Oklu R, Salazar GM, Waltman AC et al (2012) Image optimization during endovascular aneurysm repair. AJR Am J Roentgenol 198(1):200–206

    Article  PubMed  Google Scholar 

  88. Criado E, Upchurch GR Jr, Young K, Rectenwald JE, Coleman DM, Eliason JL et al (2012) Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency. J Vasc Surg 55(6):1570–1575

    Article  PubMed  Google Scholar 

  89. Lee AD, Hall RG (2010) An evaluation of the use of carbon dioxide angiography in endovascular aortic aneurysm repair. Vasc Endovascular Surg 44(5):341–344

    Article  PubMed  Google Scholar 

  90. Eide KR, Odegard A, Myhre HO, Hatlinghus S, Haraldseth O (2011) DynaCT in pre-treatment evaluation of aortic aneurysm before EVAR. Eur J Vasc Endovasc Surg 42(3):332–339

    Article  PubMed  CAS  Google Scholar 

  91. Eide KR, Odegard A, Myhre HO, Lydersen S, Hatlinghus S, Haraldseth O (2009) DynaCT during EVAR – a comparison with multidetector CT. Eur J Vasc Endovasc Surg 37(1):23–30

    Article  PubMed  CAS  Google Scholar 

  92. Nordon IM, Hinchliffe RJ, Malkawi AH, Taylor J, Holt PJ, Morgan R et al (2010) Validation of DynaCT in the morphological assessment of abdominal aortic aneurysm for endovascular repair. J Endovasc Ther 17(2):183–189

    Article  PubMed  Google Scholar 

  93. Biasi L, Ali T, Hinchliffe R, Morgan R, Loftus I, Thompson M (2009) Intraoperative DynaCT detection and immediate correction of a type Ia endoleak following endovascular repair of abdominal aortic aneurysm. Cardiovasc Intervent Radiol 32(3):535–538

    Article  PubMed  Google Scholar 

  94. Dijkstra ML, Eagleton MJ, Greenberg RK, Mastracci T, Hernandez A (2011) Intraoperative C-arm cone-beam computed tomography in fenestrated/branched aortic endografting. J Vasc Surg 53(3):583–590

    Article  PubMed  Google Scholar 

  95. Carrell TWG, Modarai B, Brown JRI, Penney GP (2010) Feasibility and limitations of an automated 2D-3D rigid image registration system for complex endovascular aortic procedures. J Endovasc Ther 17(4):527–533

    Article  PubMed  Google Scholar 

  96. Joshi F, Rosenbaum D, Bordes S, Rudd JH (2011) Vascular imaging with positron emission tomography. J Intern Med 270(2):99–109

    Article  PubMed  CAS  Google Scholar 

  97. Rudd JH, Warburton EA, Fryer TD, Jones HA, Clark JC, Antoun N et al (2002) Imaging atherosclerotic plaque inflammation with [18F]-fluorodeoxyglucose positron emission tomography. Circulation 105(23):2708–2711

    Article  PubMed  CAS  Google Scholar 

  98. Kotze CW, Groves AM, Menezes LJ, Harvey R, Endozo R, Kayani IA et al (2011) What is the relationship between (1)F-FDG aortic aneurysm uptake on PET/CT and future growth rate? Eur J Nucl Med Mol Imaging 38(8):1493–1499

    Article  PubMed  Google Scholar 

  99. Kotze CW, Menezes LJ, Endozo R, Groves AM, Ell PJ, Yusuf SW (2009) Increased metabolic activity in abdominal aortic aneurysm detected by 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT). Eur J Vasc Endovasc Surg 38(1):93–99

    Article  PubMed  CAS  Google Scholar 

  100. Palombo D, Morbelli S, Spinella G, Pane B, Marini C, Rousas N et al (2011) A positron emission tomography/computed tomography (PET/CT) evaluation of asymptomatic abdominal aortic aneurysms: another point of view. Ann Vasc Surg 26(4):491–499

    Article  PubMed  Google Scholar 

  101. Reeps C, Essler M, Pelisek J, Seidl S, Eckstein HH, Krause BJ (2008) Increased 18F-fluorodeoxyglucose uptake in abdominal aortic aneurysms in positron emission/computed tomography is associated with inflammation, aortic wall instability, and acute symptoms. J Vasc Surg 48(2):417–423, discussion 24

    Article  PubMed  Google Scholar 

  102. Truijers M, Kurvers HA, Bredie SJ, Oyen WJ, Blankensteijn JD (2008) In vivo imaging of abdominal aortic aneurysms: increased FDG uptake suggests inflammation in the aneurysm wall. J Endovasc Ther 15(4):462–467

    Article  PubMed  Google Scholar 

  103. Wasselius J, Malmstedt J, Kalin B, Larsson S, Sundin A, Hedin U et al (2008) High 18F-FDG uptake in synthetic aortic vascular grafts on PET/CT in symptomatic and asymptomatic patients. J Nucl Med 49(10):1601–1605

    Article  PubMed  Google Scholar 

  104. Xu XY, Borghi A, Nchimi A, Leung J, Gomez P, Cheng Z et al (2010) High levels of 18F-FDG uptake in aortic aneurysm wall are associated with high wall stress. Eur J Vasc Endovasc Surg 39(3):295–301

    Article  PubMed  CAS  Google Scholar 

  105. Cavalcanti Filho JL, de Souza Leao Lima R, de Souza Machado Neto L, Kayat Bittencourt L, Domingues RC, da Fonseca LM (2011) PET/CT and vascular disease: current concepts. Eur J Radiol 80(1):60–67

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nuno V. Dias .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Dias, N.V., Resch, T. (2014). Imaging of Aortic Aneurysms:What Do We Need to Know and Which Techniques Should Be Chosen?. In: Saba, L., Sanches, J., Pedro, L., Suri, J. (eds) Multi-Modality Atherosclerosis Imaging and Diagnosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7425-8_23

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-7425-8_23

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7424-1

  • Online ISBN: 978-1-4614-7425-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Navigation