Assessment of thoracic aortic conformational changes by four-dimensional computed tomography angiography in patients with chronic aortic dissection type b.

To characterize the heartbeat-related distension of dissected and non-dissected thoracic aortic segments in chronic aortic dissection type b (CADB) ECG-gated computed tomography angiography was performed in ten CADB patients. For 20 time points of the R-R interval, multiplanar reformations were take...

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Published in:European Radiology Vol. 19; no. 1; pp. 245 - 254
Main Authors: Weber TF, Ganten MK, Böckler D, Geisbüsch P, Kopp-Schneider A, Kauczor HU, von Tengg-Kobligk H, Weber, Tim F, Ganten, Maria-Katharina, Böckler, Dittmar, Geisbüsch, Philipp, Kopp-Schneider, Annette, Kauczor, Hans-Ulrich, von Tengg-Kobligk, Hendrik
Format: research Journal Article
Published: Springer Nature Jan2009
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-008-1103-x
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        atl: Assessment of thoracic aortic conformational changes by four-dimensional computed tomography angiography in patients with chronic aortic dissection type b.
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          Weber TF
          Ganten MK
          Böckler D
          Geisbüsch P
          Kopp-Schneider A
          Kauczor HU
          von Tengg-Kobligk H
          Weber, Tim F
          Ganten, Maria-Katharina
          Böckler, Dittmar
          Geisbüsch, Philipp
          Kopp-Schneider, Annette
          Kauczor, Hans-Ulrich
          von Tengg-Kobligk, Hendrik
        affil: Department of Radiology, German Cancer Research Center, Heidelberg, Germany
      sug:
        subj:
          Angiography Methods
          Aorta, Thoracic Radiography
          Aortic Aneurysm, Thoracic Radiography
          Aortic Dissections Radiography
          Diagnostic Imaging Methods
          Tomography, X-Ray Computed Methods
          Female
          Male
          Middle Age
          Reproducibility of Results
          Sensitivity and Specificity
          Human
          Middle Aged: 45-64 years
          Female
          Male
      ab: To characterize the heartbeat-related distension of dissected and non-dissected thoracic aortic segments in chronic aortic dissection type b (CADB) ECG-gated computed tomography angiography was performed in ten CADB patients. For 20 time points of the R-R interval, multiplanar reformations were taken at non-dissected (A, B) and dissected (C) aorta: ascending aorta (A), aortic vertex (B), 10 cm distal to left subclavian (Ct, true channel; Cf, false channel). Relative amplitudes of aortic area and major and minor axis diameter changes were quantified. Area amplitudes were 12.9 +/- 3.7%, 11.4 +/- 1.8%, 16.5 +/- 5.9% and 10.5 +/- 5.7% at A, B, Ct and Cf, respectively. Area amplitudes were significantly greater at Ct than at Cf and B (p < 0.05). Major axis diameter amplitudes were 7.7 +/- 1.9%, 6.2 +/- 1.3%, 5.9 +/- 2.0% and 6.1 +/- 3.6% at A, B, Ct and Cf, respectively. There were no differences in major axis diameter amplitudes. Minor axis diameter amplitudes were 6.7 +/- 2.1%, 8.4 +/- 1.9%, 12.7 +/- 6.3% and 6.0 +/- 2.2% at A, B, Ct and Cf, respectively. Minor axis diameter amplitudes were significantly the greatest at Ct (p < 0.05). In CADB, the heartbeat-related distension of aortic area and diameter is evenly distributed over the non-dissected aortic arch. As a result from different blood flow properties, there are significantly greater conformational changes in the true channel of the dissected aorta.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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