Motion Calculations on Stent Grafts in AAA

Almar Klein, W. Klaas Jan Renema, J. Adam van der Vliet, Luuk J. Oostveen, Yvonne Hoogeveen, Leo J. Schultze Kool, Cornelis H. Slump

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Abstract

Endovascular aortic repair (EVAR) is a technique which uses stent grafts to treat aortic aneurysms in patients at risk of aneurysm rupture. Although this technique has been shown to be very successful on the short term, the long term results are less optimistic due to failure of the stent graft. The pulsating blood flow applies stresses and forces to the stent graft, which can cause problems such as breakage, leakage, and migration. Therefore it is of importance to gain more insight into the in vivo motion behavior of these devices. If we know more about the motion patterns in well-behaved stent graft as well as ill-behaving devices, we shall be better able to distinguish between these type of behaviors These insights will enable us to detect stent-related problems and might even be used to predict problems beforehand. Further, these insights will help in designing the next generation stent grafts. Firstly, this work discusses the applicability of ECG-gated CT for measuring the motions of stent grafts in AAA. Secondly, multiple methods to segment the stent graft from these data are discussed. Thirdly, this work proposes a method that uses image registration to apply motion to the segmented stent model
Original languageEnglish
Title of host publicationDiagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms
EditorsR.T. Grundmann
PublisherInTech
Pages126-144
Number of pages19
ISBN (Print)978-953-307-466-5
DOIs
Publication statusPublished - Sep 2011

Keywords

  • METIS-278804
  • IR-78099
  • Stent graft
  • Registration
  • EWI-20532
  • Segmentation
  • Motion
  • Image Processing
  • abdominal aortic aneurysm

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    Klein, A., Renema, W. K. J., van der Vliet, J. A., Oostveen, L. J., Hoogeveen, Y., Schultze Kool, L. J., & Slump, C. H. (2011). Motion Calculations on Stent Grafts in AAA. In R. T. Grundmann (Ed.), Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms (pp. 126-144). InTech. https://doi.org/10.5772/17995