Browsing by Author "Banzic, I. (36518108700)"

The role of intraluminal thrombus (ILT) has special attention in these studies. One of the papers showed that asymmetrical intraluminal thrombus deposition (ATDI) has an important role in growth of the AAA. The aim of our study was to assess the asymmetrical thrombus deposition index in ruptured and symptomatic aneurysms. We collected data for 33 aneurysms, 21 (63.63%) asymptomatic and 12 (33.37%) ruptured or symptomatic. Asymmetrical thrombus deposition index (ATDI) was measured by Onis DICOM viewer software. Also, lumen's geometrical centre (LGC) was defined and ATDI was considered positive when the LGC was laid on the posterior section of the sac (meaning dominant anterior ILT distribution) and negative when it was laid on the anterior section (meaning dominant posterior ILT distribution). Maximum aneurysm diameter was 63.4mm in average (50-100mm, SD=12.89); 59.8mm in asymptomatic and 71.16mm in symptomatic or ruptured aneurysm (p=0.012). The absolute value of asymmetric thrombus deposition index was significantly higher in symptomatic/ruptured compared to asymptomatic aneurysm, 0.54 and 0.33, respectively (p=0.041), while there was no difference in frequency of positive or negative thrombus deposition (p=0.261). There was no significant correlation between maximal aneurysm size and absolute value of ATDI (p=0.505). Values of thrombus deposition index are correlating with the development of symptomatology or rupture of the AAA. This variable should be included in much wider mathematical rupture prediction model in order to have more accurate rupture risk assessment. © 2015 IEEE.

The role of intraluminal thrombus (ILT) has special attention in these studies. One of the papers showed that asymmetrical intraluminal thrombus deposition (ATDI) has an important role in growth of the AAA. The aim of our study was to assess the asymmetrical thrombus deposition index in ruptured and symptomatic aneurysms. We collected data for 33 aneurysms, 21 (63.63%) asymptomatic and 12 (33.37%) ruptured or symptomatic. Asymmetrical thrombus deposition index (ATDI) was measured by Onis DICOM viewer software. Also, lumen's geometrical centre (LGC) was defined and ATDI was considered positive when the LGC was laid on the posterior section of the sac (meaning dominant anterior ILT distribution) and negative when it was laid on the anterior section (meaning dominant posterior ILT distribution). Maximum aneurysm diameter was 63.4mm in average (50-100mm, SD=12.89); 59.8mm in asymptomatic and 71.16mm in symptomatic or ruptured aneurysm (p=0.012). The absolute value of asymmetric thrombus deposition index was significantly higher in symptomatic/ruptured compared to asymptomatic aneurysm, 0.54 and 0.33, respectively (p=0.041), while there was no difference in frequency of positive or negative thrombus deposition (p=0.261). There was no significant correlation between maximal aneurysm size and absolute value of ATDI (p=0.505). Values of thrombus deposition index are correlating with the development of symptomatology or rupture of the AAA. This variable should be included in much wider mathematical rupture prediction model in order to have more accurate rupture risk assessment. © 2015 IEEE.

[No abstract available]

INTRODUCTION: In-hospital mortality of acute aortic type III dissection ranged about 12%. Complicated dissections represent about 18% of all cases, and require open surgery or TEVAR. More morphological predictors of in hospital mortality are needed to differentiate patients who should be selected for immediate, surgical or endovascular intervention.; METHODS: From January 2009 to December 2014, 74 patients with acute aortic type III dissection were enrolled at Clinic of Vascular and Endovascular Surgery in Belgrade Serbia and retrospectively analyzed. Every MSCT was observed in regard to morphologic characteristics of dissection.; RESULTS: By analyzing morphologic parameters in patients between survival and non-survival group only localization of intimal tear showed statistical significance (p=0,020). The size of the intimal tear didn't reach statistical significance with the tendency of doing so in a larger sample of patients (p=0,063) with the cut-off value of 9.55mm. The shape of the true lumen was on the border of statistical significance (p=0,053).; CONCLUSION: Inner curvature intimal tear localization, huge intimal tear as well as elliptic shape of the true lumen together should raise awareness to a subgroup at risk for in hospital mortality. More liberal endovascular treatment in this subgroup of patients is advocated.

Objective The objective was to quantify aorto-iliac morphology differences between AAA patients of Caucasian and Asian origin. Additionally, the impact of patient demographic characteristics was assessed, which could influence the morphological differences. Methods This international multicentre study included two tertiary referral institutions from Europe and one from China. CT scans with 3D reconstruction of 296 patients with infrarenal AAA >5 cm were analysed. Eighteen measurements were recorded from each CT scan and compared between Caucasian and Asian patients. Results Caucasian patients had longer common iliac arteries (right: 65.0 vs. 33.1 mm, p < .001 left: 65.0 vs. 35.2 mm, p < .001), longer aneurysm neck (33.0 vs. 28.4 mm, p < .001), greater aneurysm to aortic axis angle (153.0° vs. 142.2°, p < .001), and longer combined aorto-iliac length (195.7 vs. 189.2 mm, p < .001). However, Asian patients had a longer infrarenal abdominal aorta (152.0 vs. 130.0 mm, p < .001), longer AAA (126.2 vs. 93.0 mm), and greater linear distance from renal artery to aorto-iliac bifurcation (143.6 vs. 116.0 mm, p < .001). Caucasian patients had a larger inner common iliac artery diameter (right: 16.0 vs. 14.9 mm, p < .001, left: 16.0 vs. 15.2 mm, p < .001), larger inner exernal iliac artery diameter (right: 9.0 vs. 7.5 mm, p < .001 left: 9.0 vs. 7.7 mm, p < .001), and larger inner common femoral artery diameter (right: 10.0 vs. 5.9 mm, p < .001 left: 10.0 vs. 6.1 mm, p < .001). No difference was observed in AAA transverse diameter (62.0 vs. 63.1 mm, p = .492). Conclusion The results showed that aorto-iliac anatomy in Caucasians differs significantly from Asians, particularly in the length of the common iliac arteries and infrarenal abdominal aorta, and in the transverse diameter of the common, external iliac, and common femoral arteries. Therefore, the exact criteria for stent graft design are dependent on the racial origin of the patient. © 2015 European Society for Vascular Surgery