MULTIDETECTOR COMPUTED TOMOGRAPHY IN ENDOVASCULAR AND HYBRID OPERATIONS PLANNING IN PATIENTS WITH ABDOMINAL AORTIC ANEURYSMS

Smirnova E.K. 1, Ternovoy S.K. 1,2, Fedotenkov I.S. 1, Lepilin P.M. 1, Imaev T.E. 1, Komlev A.E. 1 2

1 – A.L. Myasnikov Russian Cardiology Research Center

2 – I.M. Sechenov First Moscow State Medical University. Moscow, Russia.

Abdominal aortic aneurysms (AAA) are characterized by a high mortality rate in the event of complications. Timely diagnosis using modern techniques and a comprehensive evaluation of the patient state will allow for proper planning of surgical interventions. The result is a decrease in the proportion of emergency surgery, ensuring adequate preoperative preparation, reduction of peri- and postoperative mortality in patients with AAA. Multidetector computed tomography (MCT) is the most accurate method of diagnosis of abdominal aortic aneurysms and their complications. The method is characterized by high speed and a large scanning area, high-contrast images and a small slice thickness. MCT allows to obtain a three-dimensional reconstruction of vessels, to produce an accurate estimate of the size and shape of the aneurysmal sac, the diameter of the proximal and distal "necks" of AAA, wall thickness and the degree of calcification, the type and extent of mural thrombus, presence of intramural hematoma, interposition of the AAA and the surrounding structures, the involvement of the iliac arteries and the development of complications.

Keywords: abdominal aortic aneurysm, multidetector computed tomography, hybrid procedures, endovascular interventions, MRI, ultrasound.

 

Corresponding author:  Smirnova E.K., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Smirnova E.K., Ternovoy S.K., Fedotenkov I.S., Lepilin P.M., Imaev T.E., Komlev A.E. Multidetector computed tomography in the planning of endovascular and hybrid operations in patients with abdominal aortic aneurysms. REJR. 2016; 6 (4):99-108. DOI:10.21569/2222-7415-2016-6-4-99-108.

 

Received: 21.11.16 Accepted: 01.12.2016