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Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection

The purpose of this study was to preoperatively evaluate the value of aortic arch lesions by multidetector computed tomography (MDCT) angiography in type A aortic dissection (AD). From January 2013 to December 2015, we enrolled 42 patients with type A AD who underwent MDCT angiography in our hospita...

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Autores principales: Huang, Fang, Chen, Qiang, Lai, Qing-quan, Huang, Wen-han, Wu, Hong, Li, Wei-cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265945/
https://www.ncbi.nlm.nih.gov/pubmed/27684852
http://dx.doi.org/10.1097/MD.0000000000004984
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author Huang, Fang
Chen, Qiang
Lai, Qing-quan
Huang, Wen-han
Wu, Hong
Li, Wei-cheng
author_facet Huang, Fang
Chen, Qiang
Lai, Qing-quan
Huang, Wen-han
Wu, Hong
Li, Wei-cheng
author_sort Huang, Fang
collection PubMed
description The purpose of this study was to preoperatively evaluate the value of aortic arch lesions by multidetector computed tomography (MDCT) angiography in type A aortic dissection (AD). From January 2013 to December 2015, we enrolled 42 patients with type A AD who underwent MDCT angiography in our hospital. The institutional database of patients was retrospectively reviewed to identify MDCT angiography examinations for type A AD. Surgical corrections were conducted in all patients to confirm diagnostic accuracy. In this study, the diagnostic accuracy of MDCT angiography was 100% in all 42 patients. The intimal tear site locations that were identified in patients included the ascending aorta (n = 25), aortic arch (n = 12), and all other sites (n = 5). Compared with the control group, there were significant differences in the aortic arch anatomy among the cases. Regarding the distance between the left common carotid and left subclavian arteries, compared with the control group, most cases with type A AD had a significant variation. MDCT angiography plays an important role in detecting aortic arch lesions of type A AD, especially in determining the location of the intimal entry site and change of branch blood vessels. Surgeons can formulate an appropriate operating plan, according to the preoperative MDCT diagnosis information.
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spelling pubmed-52659452017-02-06 Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection Huang, Fang Chen, Qiang Lai, Qing-quan Huang, Wen-han Wu, Hong Li, Wei-cheng Medicine (Baltimore) 3400 The purpose of this study was to preoperatively evaluate the value of aortic arch lesions by multidetector computed tomography (MDCT) angiography in type A aortic dissection (AD). From January 2013 to December 2015, we enrolled 42 patients with type A AD who underwent MDCT angiography in our hospital. The institutional database of patients was retrospectively reviewed to identify MDCT angiography examinations for type A AD. Surgical corrections were conducted in all patients to confirm diagnostic accuracy. In this study, the diagnostic accuracy of MDCT angiography was 100% in all 42 patients. The intimal tear site locations that were identified in patients included the ascending aorta (n = 25), aortic arch (n = 12), and all other sites (n = 5). Compared with the control group, there were significant differences in the aortic arch anatomy among the cases. Regarding the distance between the left common carotid and left subclavian arteries, compared with the control group, most cases with type A AD had a significant variation. MDCT angiography plays an important role in detecting aortic arch lesions of type A AD, especially in determining the location of the intimal entry site and change of branch blood vessels. Surgeons can formulate an appropriate operating plan, according to the preoperative MDCT diagnosis information. Wolters Kluwer Health 2016-09-30 /pmc/articles/PMC5265945/ /pubmed/27684852 http://dx.doi.org/10.1097/MD.0000000000004984 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 3400
Huang, Fang
Chen, Qiang
Lai, Qing-quan
Huang, Wen-han
Wu, Hong
Li, Wei-cheng
Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection
title Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection
title_full Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection
title_fullStr Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection
title_full_unstemmed Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection
title_short Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection
title_sort preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type a aortic dissection
topic 3400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265945/
https://www.ncbi.nlm.nih.gov/pubmed/27684852
http://dx.doi.org/10.1097/MD.0000000000004984
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