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Quantification of Dilated Infrarenal Aorta by 64 Multidetector Computed Tomographic Evaluation in Preventing EVAR Complications in Patients of Different Races

Mladenović, Ana S. MD, Msc*; Markovic, Zeljko Z. PhD*; Hyodoh, Hideki H. PhD; Grujicic-Sipetic, Sandra PhD; Yasuo, Nakajima PhD§

Journal of Computer Assisted Tomography: July-August 2011 - Volume 35 - Issue 4 - p 462-467
doi: 10.1097/RCT.0b013e318221eba7
Cardiovascular Imaging

Aim: The hypothesis of this multicentric study is performing a specific typification in the selection of grafts for the endoluminal treatment of an aneurysmally altered distal aorta based on mathematical information and the correlation of a number of morphological parameters diagnosed by 64-multidetector computed tomographic (CT) aortography.

Materials and Methods: The study is multicentric and encompassed 30 Asian and 30 European patients. Examinations were performed on the same type of 64- multidetector CT equipment and under same conditions of examination technique and postprocessing. Several statistical methods were applied to analyze the results.

Results: Statistically significant differences were found between Asian and European patients in the morphology of the central part of the aneurysm at the level of the abdominal aorta and the width and length of the iliac arteries. The principal cause of the most frequent complication observed was defined by a CT aortographic study.

Conclusions: Computed tomographic aortographic quantification of significant parameters makes it possible to plan the exact dimensions of grafts in each individual case. Computed tomographic examinations make possible very exact measurements and positioning of the graft of the novel design proposed by the authors and expected to substantially reduce the incidence of complications.

From the *Center of Radiology and Magnetic Resonance, Clinical Center of Serbia, Belgrade, Serbia; †Department of Radiology, Sapporo Medical University, Sapporo, Japan; ‡Institute of Epidemiology, Medical University, Belgrade,Serbia; and §Faculty of Medicine, St Marianna University School of Medicine, Tokyo, Japan.

Received for publication April 27, 2011; accepted April 28, 2011.

Reprints: Ana S. Mladenović, MD, MSc, Center of Radiology and Magnetic Resonance, Clinical Center of Serbia, Višegradska 26, Belgrade, 11000 Serbia (e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.