Semi-automated measurement of vascular tortuosity and its implications for mechanical thrombectomy performance.
Purpose: Few studies have examined the geometry of endovascular mechanical thrombectomy pathways. Here we examine the tortuosity and angulations of catheter pathways from the aortic arch to the termination of the internal carotid artery (ICA) and its association with thrombectomy performance. Method...
| Publicado en: | Neuroradiology Vol. 63; no. 3; pp. 381 - 390 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148678439&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148678439 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00283940 NYZ jtl: Neuroradiology issn: 00283940 maglogo: N pubinfo: dt: Mar2021 vid: 63 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 148678439 145222669 148678439 148678439 10.1007/s00234-020-02525-6 148678439 ppf: 381 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Semi-automated measurement of vascular tortuosity and its implications for mechanical thrombectomy performance. aug: au: Mokin, Maxim Waqas, Muhammad Chin, Felix Rai, Hamid Senko, Jillian Sparks, Adam Ducharme, Richard W. Springer, Michael Borlongan, Cesario V. Levy, Elad I. Ionita, Ciprian Siddiqui, Adnan H. affil: Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL, USA sug: subj: Blood Vessels Pathology Thrombectomy Carotid Artery Thrombosis Catheter Ablation Aorta, Thoracic Human Computed Tomography Angiography Descriptive Statistics ab: Purpose: Few studies have examined the geometry of endovascular mechanical thrombectomy pathways. Here we examine the tortuosity and angulations of catheter pathways from the aortic arch to the termination of the internal carotid artery (ICA) and its association with thrombectomy performance. Methods: We included 100 consecutive anterior circulation large vessel occlusion thrombectomy patients over 12 months. Computed tomography angiograms (CTA) were used for 3D segmentation of catheter pathway from the aortic arch to ICA termination. Tortuosity index (TI) and angulations of the catheter pathway were measured in a semi-automated fashion. TI and angulation degree were compared between sides and correlated with age and procedural measures. Results: We analyzed 188 catheter pathways in 100 patients. Severe angulation (≤ 30°) was present in 5.8% and 39.4% of common carotid artery (CCA) and extracranial ICA segments, respectively. Five pathways (2.6%) had 360° loop. CCA and extracranial ICA tortuosity had a weak but significant correlation with age (r = 0.17, 0.21, p value = 0.05, 0.02 respectively), time from groin puncture to the site of occlusion (r = 0.29, 0.25, p values = 0.008, 0.026 respectively), and fluoroscopy time (r = 0.022, 0.31, p values = 0.016, 0.001 respectively). There was a significant difference in the pattern of angulation (p value = 0.04) and tortuosity between right and left side in CCA segment (TI = 0.20 ± 0.086 vs. 0.15 ± 0.82, p value < 0.001). Conclusions: There was a significant difference in CCA angulation between right and left sides. TI of extracranial CCA and ICA correlated with age and influenced time from groin puncture to the occlusion site and total fluoroscopy time. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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