Open AccessHemodynamic changes lead to alterations in aortic diameters and may challenge further stent graft sizing in acute aortic syndrome
Author(s) -
Julia Lortz,
Konstantinos Tsagakis,
Christos Rammos,
Alexander Lind,
Thomas Schlosser,
Heinz Jakob,
Tienush Rassaf,
Rolf Alexander Jánosi
Publication year - 2018
Publication title -
journal of thoracic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 60
eISSN - 2077-6624
pISSN - 2072-1439
DOI - 10.21037/jtd.2018.05.188
Subject(s) - medicine , hemodynamics , cardiology , stent , intravascular ultrasound , aortic pressure , shock (circulatory) , blood pressure
Precise stent graft sizing in Thoracic endovascular aortic repair (TEVAR) is crucial to receive optimal long-term results. Computed tomography (CT), as the current standard in assessing aortic diameters (ADs), is often performed at initial diagnosis. Since several acute aortic diseases are associated with blood loss and/or volume re-distribution, assessed AD might be influenced by impaired hemodynamic conditions. Intravascular ultrasound (IVUS) offers real-time assessment, especially after hemodynamic restoration, and might help for stent graft choice.