Morphologic assessment of abdominal aortic aneurysms by spiral computed tomographic scanning.

Abstract:

PURPOSE:The aim of this study was to seek a relationship between the morphologic features of abdominal aortic aneurysms and the feasibility of endoaortic grafting. METHODS:Between June 1995 and January 1996, 86 patients were prospectively studied with contrast-enhanced spiral computed tomographic scans, which provided 35 parameters concerning the aorta and iliac arteries. Four groups were established according to the diameter of abdominal aortic aneurysms: group A, 40 to 49 mm, 36 patients; group B, 50 to 59 mm, 26 patients; group C, 60 to 69 mm, 10 patients; and group D, greater than 70 mm, 14 patients. RESULTS:There was a correlation between the diameter and length of the aneurysm (p < 0.0001) and between aneurysm diameter and length of the proximal neck (p < 0.001). Presence of a proximal neck or a distal neck was more frequent in groups A and B than in groups C and D (p < 0.01). The feasibility of endovascular grafting was estimated at between 50% and 61.6% and was higher in groups A and B than in groups C and D (p < 0.01). CONCLUSIONS:This study has shown an inverse relationship between the diameter of the aneurysm and the length of the aortic neck (correlation coefficient, -0.3640, p < 0.001). The diameter of an aneurysm was the most useful of the 31 parameters measured in predicting the feasibility of endoaortic grafting, estimated at 71% for aneurysms less than 60 mm in diameter and 37.5% for aneurysms greater than 60 mm in diameter (p < 0.01).

journal_name

J Vasc Surg

authors

Bayle O,Branchereau A,Rosset E,Guillemot E,Beaurain P,Ferdani M,Jausseran JM

doi

10.1016/s0741-5214(97)70184-8

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

238-46

issue

2

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(97)70184-8

journal_volume

26

pub_type

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