Li GJ, Zhao MX. Application of multi-planar reconstruction technique in endovascular repair of aortic dissection. World J Clin Cases 2024; 12(17): 2989-2994 [PMID: 38898856 DOI: 10.12998/wjcc.v12.i17.2989]
Corresponding Author of This Article
Ming-Xian Zhao, MBChB, Associate Chief Physician, Department of Vascular Surgery, Qinghai Province Cardiovascular and Cerebrovascular Disease Specialist Hospital, No. 7 Zhuanchang Road, Chengzhong District, Xining 810000, Qinghai Province, China. mingxian_9zhao@163.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2024; 12(17): 2989-2994 Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.2989
Application of multi-planar reconstruction technique in endovascular repair of aortic dissection
Guo-Jie Li, Ming-Xian Zhao
Guo-Jie Li, Ming-Xian Zhao, Department of Vascular Surgery, Qinghai Province Cardiovascular and Cerebrovascular Disease Specialist Hospital, Xining 810000, Qinghai Province, China
Author contributions: Li GJ collected the data and wrote the manuscript; Zhao MX performed the statistical analysis; and both authors read and approved the final manuscript.
Supported byQinghai Province Medical and Health Technology Project, No. 2021-wjzdx-88.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Qinghai Province Cardiovascular and Cerebrovascular Disease Specialist Hospital.
Informed consent statement: All study participants provided written informed consent before enrollment.
Conflict-of-interest statement: We have no financial relationships or conflicts of interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ming-Xian Zhao, MBChB, Associate Chief Physician, Department of Vascular Surgery, Qinghai Province Cardiovascular and Cerebrovascular Disease Specialist Hospital, No. 7 Zhuanchang Road, Chengzhong District, Xining 810000, Qinghai Province, China. mingxian_9zhao@163.com
Received: February 19, 2024 Revised: March 21, 2024 Accepted: April 15, 2024 Published online: June 16, 2024 Processing time: 106 Days and 7.8 Hours
Abstract
BACKGROUND
Endovascular repair of aortic dissection is an effective method commonly used in the treatment of Stanford type B aortic dissection. Stent placement during the operation was one-time and could not be repeatedly adjusted during the operation. Therefore, it is of great significance for cardiovascular physicians to fully understand the branch status, position, angle, and other information regarding aortic arch dissection before surgery.
AIM
To provide more references for clinical cardiovascular physicians to develop treatment plans.
METHODS
Data from 153 patients who underwent endovascular repair of aortic dissection at our hospital between January 2021 and December 2022 were retrospectively collected. All patients underwent multi-slice spiral computed tomography angiography. Based on distinct post-image processing techniques, the patients were categorized into three groups: Multiplanar reconstruction (MPR) (n = 55), volume reconstruction (VR) (n = 46), and maximum intensity projection (MIP) (n = 52). The detection rate of aortic rupture, accuracy of the DeBakey classification, rotation, and tilt angles of the C-arm during the procedure, dispersion after stent release, and the incidence of late complications were recorded and compared.
RESULTS
The detection rates of interlayer rupture in the MPR and VR groups were significantly higher than that in the MIP group (P < 0.05). The detection rates of DeBakey subtypes I, II, and III in the MPR group were higher than those in the MIP group, and the detection rate of type III in the MPR group was significantly higher than that in the VR group (P < 0.05). There was no statistically significant difference in the detection rates of types I and II compared to the VR group (P > 0.05). The scatter rate of markers and the incidence of complications in the MPR group were significantly lower than those in the VR and MIP groups (P < 0.05).
CONCLUSION
The application of MPR in the endovascular repair of aortic dissection has improved the detection rate of dissection rupture, the accuracy of anatomical classification, and safety.
Core Tip: Stent placement for the endovascular repair of aortic dissection is performed once and cannot be adjusted repeatedly during surgery. Therefore, it is necessary to fully understand the branch status, position, angle, and other information of aortic arch dissection before the operation. Tulti planar reconstruction is a technique that can achieve omnidirectional rotational imaging by adjusting the slice thickness and can help doctors observe the details of blood vessels.
