A systematic review of standardized methods for assessment of endograft sealing on computed tomography angiography post-endovascular aortic repair, and its influence on endograft-associated complications

Richte C.L. Schuurmann*, Philippe M. De Rooy, Frederico Bastos Gonçalves, Cornelis G. Vos, Jean Paul P.M. De Vries

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

Introduction: Although there is much attention for proper sizing of pre-operative anatomy before (thoracic) endovascular aneurysm repair ([T]EVAR), standardized assessment of endograft position and apposition at postoperative imaging is seldom addressed in the international guidelines. The highly detailed three-dimensional computed tomography angiography (CTA) volumes contain valuable information about the apposition of the endograft with the arterial wall and the position of the device relative to anatomical landmarks in the proximal and distal landing zones, which is currently hardly used. With proper assessment on CTA of the endograft after EVAR, the risk for future endograft-related complications may be determined, allowing patient-tailored, risk-stratified surveillance. Areas covered: This systematic review identified three standardized methods for assessing apposition or position of the endograft in the proximal or distal landing zone on CTA after (T)EVAR. Quantification of apposition and position, validation of measurement precision, and association with endograft-related complications were extracted. Short (<10 mm apposition length) and decreasing (>0 mm) apposition were associated with endograft-associated complications. Expert commentary: Standardized assessment of apposition and position of the endograft in the proximal and distal landing zones on CTA should be incorporated in post-(T)EVAR surveillance. A risk-stratified CTA surveillance protocol is proposed.

Original languageEnglish
Pages (from-to)683-695
Number of pages13
JournalExpert review of medical devices
Volume16
Issue number8
DOIs
Publication statusPublished - 3 Aug 2019

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Angiography
Tomography
Repair
Landing
Aneurysm
Anatomy
Thorax
Computed Tomography Angiography
Guidelines
Imaging techniques
Equipment and Supplies

Keywords

  • abdominal aneurysm
  • computed tomography angiography
  • endovascular aneurysm repair
  • image reconstruction
  • practice guidelines
  • stentgraft
  • Systematic review
  • thoracic endovascular aortic repair

Cite this

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title = "A systematic review of standardized methods for assessment of endograft sealing on computed tomography angiography post-endovascular aortic repair, and its influence on endograft-associated complications",
abstract = "Introduction: Although there is much attention for proper sizing of pre-operative anatomy before (thoracic) endovascular aneurysm repair ([T]EVAR), standardized assessment of endograft position and apposition at postoperative imaging is seldom addressed in the international guidelines. The highly detailed three-dimensional computed tomography angiography (CTA) volumes contain valuable information about the apposition of the endograft with the arterial wall and the position of the device relative to anatomical landmarks in the proximal and distal landing zones, which is currently hardly used. With proper assessment on CTA of the endograft after EVAR, the risk for future endograft-related complications may be determined, allowing patient-tailored, risk-stratified surveillance. Areas covered: This systematic review identified three standardized methods for assessing apposition or position of the endograft in the proximal or distal landing zone on CTA after (T)EVAR. Quantification of apposition and position, validation of measurement precision, and association with endograft-related complications were extracted. Short (<10 mm apposition length) and decreasing (>0 mm) apposition were associated with endograft-associated complications. Expert commentary: Standardized assessment of apposition and position of the endograft in the proximal and distal landing zones on CTA should be incorporated in post-(T)EVAR surveillance. A risk-stratified CTA surveillance protocol is proposed.",
keywords = "abdominal aneurysm, computed tomography angiography, endovascular aneurysm repair, image reconstruction, practice guidelines, stentgraft, Systematic review, thoracic endovascular aortic repair",
author = "Schuurmann, {Richte C.L.} and {De Rooy}, {Philippe M.} and {Bastos Gon{\cc}alves}, Frederico and Vos, {Cornelis G.} and {De Vries}, {Jean Paul P.M.}",
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A systematic review of standardized methods for assessment of endograft sealing on computed tomography angiography post-endovascular aortic repair, and its influence on endograft-associated complications. / Schuurmann, Richte C.L.; De Rooy, Philippe M.; Bastos Gonçalves, Frederico; Vos, Cornelis G.; De Vries, Jean Paul P.M.

In: Expert review of medical devices, Vol. 16, No. 8, 03.08.2019, p. 683-695.

Research output: Contribution to journalReview articleAcademicpeer-review

TY - JOUR

T1 - A systematic review of standardized methods for assessment of endograft sealing on computed tomography angiography post-endovascular aortic repair, and its influence on endograft-associated complications

AU - Schuurmann, Richte C.L.

AU - De Rooy, Philippe M.

AU - Bastos Gonçalves, Frederico

AU - Vos, Cornelis G.

AU - De Vries, Jean Paul P.M.

PY - 2019/8/3

Y1 - 2019/8/3

N2 - Introduction: Although there is much attention for proper sizing of pre-operative anatomy before (thoracic) endovascular aneurysm repair ([T]EVAR), standardized assessment of endograft position and apposition at postoperative imaging is seldom addressed in the international guidelines. The highly detailed three-dimensional computed tomography angiography (CTA) volumes contain valuable information about the apposition of the endograft with the arterial wall and the position of the device relative to anatomical landmarks in the proximal and distal landing zones, which is currently hardly used. With proper assessment on CTA of the endograft after EVAR, the risk for future endograft-related complications may be determined, allowing patient-tailored, risk-stratified surveillance. Areas covered: This systematic review identified three standardized methods for assessing apposition or position of the endograft in the proximal or distal landing zone on CTA after (T)EVAR. Quantification of apposition and position, validation of measurement precision, and association with endograft-related complications were extracted. Short (<10 mm apposition length) and decreasing (>0 mm) apposition were associated with endograft-associated complications. Expert commentary: Standardized assessment of apposition and position of the endograft in the proximal and distal landing zones on CTA should be incorporated in post-(T)EVAR surveillance. A risk-stratified CTA surveillance protocol is proposed.

AB - Introduction: Although there is much attention for proper sizing of pre-operative anatomy before (thoracic) endovascular aneurysm repair ([T]EVAR), standardized assessment of endograft position and apposition at postoperative imaging is seldom addressed in the international guidelines. The highly detailed three-dimensional computed tomography angiography (CTA) volumes contain valuable information about the apposition of the endograft with the arterial wall and the position of the device relative to anatomical landmarks in the proximal and distal landing zones, which is currently hardly used. With proper assessment on CTA of the endograft after EVAR, the risk for future endograft-related complications may be determined, allowing patient-tailored, risk-stratified surveillance. Areas covered: This systematic review identified three standardized methods for assessing apposition or position of the endograft in the proximal or distal landing zone on CTA after (T)EVAR. Quantification of apposition and position, validation of measurement precision, and association with endograft-related complications were extracted. Short (<10 mm apposition length) and decreasing (>0 mm) apposition were associated with endograft-associated complications. Expert commentary: Standardized assessment of apposition and position of the endograft in the proximal and distal landing zones on CTA should be incorporated in post-(T)EVAR surveillance. A risk-stratified CTA surveillance protocol is proposed.

KW - abdominal aneurysm

KW - computed tomography angiography

KW - endovascular aneurysm repair

KW - image reconstruction

KW - practice guidelines

KW - stentgraft

KW - Systematic review

KW - thoracic endovascular aortic repair

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DO - 10.1080/17434440.2019.1644165

M3 - Review article

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EP - 695

JO - Expert review of medical devices

JF - Expert review of medical devices

SN - 1743-4440

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