Virtual angioscopy assessment for acute type B aortic dissection endovascular repair.
BACKGROUND
Virtual angioscopy 3D reconstruction (VA) based on Multidetector computed tomography (m-CT) can be an important tool in endovascular aortic repair assessment. Here, we present a case of an acute type B aortic dissection, evaluated with preoperative virtual angioscopy 3D reconstruction (VA).


METHODS
A 60 years-old-man presented with type B acute aortic dissection. Due to renal malperfusion and uncontrolled hypertension TEVAR and renal stenting was performed based on m-CT and VA images.


CONCLUSIONS
Aortic dissection endovascular repair requires an accurate evaluation based on M-CT or magnetic resonance angiography (MRA). VA is a CT-based 3D reconstruction that provides a sort of information comparable to intravascular ultrasound (IVUS) that can be very helpful when it is not available and has many other potential applications in vascular surgery.
Izquierdo
Luis
L
Angiology, Vascular and Endovascular Surgery Service Hospital Universitario Madrid Monteprincipe, Universidad San Paulo Celi, Madrid, Spain. ivi@institutovascular.es
Leiva
Luis
L
D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery*; D017546:Angioscopy; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D001027:Aortography / Q000379:methods*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011857:Radiographic Image Interpretation, Computer-Assisted; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome