CT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN
|
|
|
- Shannon Harrison
- 6 years ago
- Views:
Transcription
1 CT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN
2 THORACO ABDOMINAL TRAUMA cc/sec 30 secs 1.25 mm/ 55 mm Z mm/ 55 mm Z 1.375
3 Grade 1 Traumatic Aortic Injury
4 Initial scan Grade 2 Traumatic Aortic Injury 48 hour follow up
5 Differential Diagnosis TAI Grade 2 Ductus diverticulum Patent ductus arteriosus
6 DUCTUS DIVERTICULUM
7
8 Traumatic Aortic Injury Grade 1- small intimal tear or intramural hematoma Grade 2 pseudoaneurysm <50% aortic circumference Grade 3 pseudoaneurysm > 50% aortic circumference Grade 4 aortic transection and active hemorrhage
9 GRADE 2 TRAUMATIC AORTIC INJURY
10 3 MONTH FOLLOW UP
11 Management of TAI Observation ( Grade 1 and 2 ) TEVAR ( Grade 3 ) Surgery ( Grade 4 )
12 Thoracic Endovascular Aneurysm Repair TEVAR
13 GRADE 3 TRAUMATIC AORTIC INJURY
14 GRADE 4 TRAUMATIC AORTIC INJURY
15 Post TEVAR Complications Post TEVAR complications Endoleak Endograft collapse Stent migration Paraplegia Stroke Upper extremity ischemia
16 CHRONIC TRAUMATIC ANEURYSM
17 PSEUDOANEURYSM LCCA
18 TRAUMATIC TEAR INNOMINATE ARTERY
19 TRAUMATIC ANEURYSM DESCENDING AORTA
20 Intramural Hematoma RCA
21 Blunt Abdominal Aortic Injury Minimal ( injury limited to intima ) Significant ( associated hemorrhage / organ ischemia ) Dissection Pseudoaneurysm Branch Avulsion Thrombosis Transection
22 THORACO ABDOMINAL JUNC MINIMAL AORTIC INJURY
23 DISTAL ABDOMINAL AORTIC PS ANEURYSM PERI AORTIC HEMATOMA
24 Active Hepatic Hemorrhage ACTIVE SUBCAPSULAR HEPATIC HEMORHAGE PERI HEPATIC
25 Active Splenic Hemorrhage
26 GRADE 3 RENAL INJURY INTRA RENAL PERI RENAL HEMATOMA LACERATION> 1 CM, NO URINARY EXTRAVASATION
27 PERSISTENT HEMATURIA CLOT RETENTION ARTERIAL PHASE ACQUSITION SEGMENTAL ARTERIAL
28 Aorta Renal CT Angiogram
29 RIGHT RENAL ARTERIOGRAM
30 PDA ANEURYSM Focal saccular aneurysm of an hypertrophied pancreatico duodenal artery is usually related to Takayasu arteritis Segmental arterial mediolysis Median arcuate ligament compression of the Celiac Artery Blunt Abdominal Trauma
31 Median Arcuate Ligament Compression
32 Portal Vein Disruption
33 Abdominal Aortic Injury Risk Factors Blunt Abdominal Aortic Injury (BAAI ) Risk factors ( associated injuries ) Lumbar Spine Midline Intestine Retroperitoneal Organs Adjacent major arteries
34 BIFFL Grading Scheme Grade 1 intimal irregularity with dissection < 25% luminal narrowing Grade 2 Dissecting hematoma > 25% luminal narrowing of visible intramural flap Grade 3 Pseudoaneurysm or small AVF Grade 4 - Complete occlusion Grade 5 Transection ( active extrav ) or significant arteriovenous fistula
35 Cerebro Vascular CTA Injection / Acquisition MDCT CTA Arch, Carotid, Vertebral CCS / SEC 8 SECS FIRST CIRCULATION 64 X 0.625, 0.984:1, 0.5 SECS
36 Intimal Disruption / Dissection ICAs
37 RVA RCA LCA LVA
38 Cerebro Vascular Injury Clinical findings Neurological defecit Cervical hematoma Seat belt injury Fractures Cervical spine Skull base Facial
39 Cerebro Vascular Injury Mechanism Compression Inferior neck Inertial tear ( hyper extension ) High Cervical Transection Basal skull fracture
40 Vertebral Artery Aneurysm
41 Vertebral Artery Aneurysm Coil Embolisation
42 Lower Extremity Arterial Trauma CTA is an accurate modality for evaluating arterial lesions in patients with extremity trauma and can replace DSA. Jens S et al European Journal of Vascular / Endovascular Surgery 2013 Sept; 46 (3):
43 Lower Extremity CTA Injection / Acquisition 12 SECS ML/SEC 18 SECS FIRST CIRCULATION ACQUISITION INTERVAL ~TABLE SPEED BEAM WIDTH, PITCH, ROT SPEED
44 Aorto Popliteal Transit Time RT POP AT=30 S FLOW VEL 70 CM AORTA AT=19 S 6.36 CM/S LT POP AT=28 S 7.77 CM/S
45 Traumatic Arterial Occlusion
46 Traumatic Arterial Aneurysm
47 Traumatic Aneurysm Subclavian Artery
48 Laceration Subclavian Artery
49 CT Angiography: Trauma Detection of Vascular injuries is vital Appropriate Injection/ Acquisition is critical Routine Arterial Phase imaging Thorax Suspect Carotid/ Cerebral or Extremity Arterial Injury
Role of the Radiologist
Diagnosis and Treatment of Blunt Cerebrovascular Injuries NORDTER Consensus Conference October 22-24, 2007 Clint W. Sliker, M.D. University of Maryland Medical Center R Adams Cowley Shock Trauma Center
Case Report 1. CTA head. (c) Tele3D Advantage, LLC
Case Report 1 CTA head 1 History 82 YEAR OLD woman with signs and symptoms of increased intra cranial pressure in setting of SAH. CT Brain was performed followed by CT Angiography of head. 2 CT brain Extensive
Interventional Radiology in Trauma. Vikash Prasad, MD, FRCPC Vascular and Interventional Radiology The Moncton Hospital
Interventional Radiology in Trauma Vikash Prasad, MD, FRCPC Vascular and Interventional Radiology The Moncton Hospital Disclosures None relevant to this presentation Shareholder Johnson and Johnson Goal
Visceral aneurysm. Diagnosis and Interventions M.NEDEVSKA
Visceral aneurysm Diagnosis and Interventions M.NEDEVSKA History 1953 De Bakeyand Cooley Visceral aneurysm VAAs rare, reported incidence of 0.01 to 0.2% on routine autopsies. Clinically important Potentially
EVAR and TEVAR: Extending Their Use for Rupture and Traumatic Injury. Conflict of Interest. Hypotensive shock 5/5/2014. none
EVAR and TEVAR: Extending Their Use for Rupture and Traumatic Injury Bruce H. Gray, DO MSVM FSCAI Professor of Surgery/Vascular Medicine USC SOM-Greenville Greenville, South Carolina none Conflict of Interest
Optimal repair of acute aortic dissection
Optimal repair of acute aortic dissection Dept. of Vascular Surgery, The 2nd Xiang-Yale Hospital, Central-South University, China Hunan Major Vessels Diseases Clinical Center Chang Shu Email:changshu01@yahoo.com
Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan
The Gore GREAT Registry: Update about a real life data collection Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan Disclosures
Advances in Treatment of Traumatic Aortic Transection
Advances in Treatment of Traumatic Aortic Transection Himanshu J. Patel MD University of Michigan Medical Center Author Disclosures Consulting fees from WL Gore Inc. There is no disease more conducive
TEVAR FOR! THORACIC AORTIC TRAUMA"
10th HKL Vascular Surgery Conference and Workshop" TEVAR FOR! THORACIC AORTIC TRAUMA" Dr Hanif Hussein" Vascular and General Surgeon" Department of Surgery" Hospital Kuala Lumpur" Source: MIROS! Thoracic
CT of Acute Thoracic Aortic Syndromes Stuart S. Sagel, M.D.
CT of Acute Thoracic Aortic Syndromes Stuart S. Sagel, M.D. Thoracic Aortic Aneurysms Atherosclerotic Dissection Penetrating ulcer Mycotic Inflammatory (vasculitis) Traumatic Aortic Imaging Options Catheter
Imaging abdominal vascular emergencies. V.Stoynova
Imaging abdominal vascular emergencies V.Stoynova Abdominal vessels V. Stoynova 2 Acute liver bleeding trauma anticoagulant therapy liver disease : HCC, adenoma, meta, FNH, Hemangioma Diagnosis :CT angiography
Screening and Management of Blunt Cereberovascular Injuries (BCVI)
Grady Memorial Hospital Trauma Service Guidelines Screening and Management of Blunt Cereberovascular Injuries (BCVI) BACKGROUND Blunt injury to the carotid or vertebral vessels (blunt cerebrovascular injury
Abdominal Solid Organ Injury
Abdominal Solid Organ Injury 9th Nordic Trauma Radiology Course Aarhus, Denmark May 23-26, 2016 K.SHANMUGANATHAN M.D. ABDOMINAL TRAUMA OBJECTIVES Splenic injury Late arterial / early p-v phase imaging
PERPHERAL ARTERY ANEURYSM. By Pooja Sharma and Susanna Sebastianpillai
PERPHERAL ARTERY ANEURYSM By Pooja Sharma and Susanna Sebastianpillai Defintions True Aneurysm Involves all three layers of the vessel. Have two basic shapes; Fusiform = symmetric widening of the vessels
Role of imaging in evaluation of genitourinary i trauma Spectrum of GU injuries Relevance of imaging findings in determining management Focus on MDCT
Genitourinary Tract Injuries 6 th Nordic Course Scott D. Steenburg, MD Assistant Professor University of Maryland Department of Radiology Division of Trauma and Emergency Radiology R Adams Cowley Shock
Acute Aortic Syndromes
Acute Aortic Syndromes Carole J. Dennie, MD Acute Thoracic Aortic Syndromes Background Non-Traumatic Acute Thoracic Aortic Syndromes Carole Dennie MD FRCPC Associate Professor of Radiology and Cardiology
Abdominal Solid Organ Injury
Abdominal Solid Organ Injury 8 th Nordic Course Stockholm, Sweden May 19-22, 2014 K.SHANMUGANATHAN M.D. ABDOMINAL TRAUMA OBJECTIVES Splenic injury Late arterial / early p-v phase imaging Liver injury Blunt
Multidetector CTA for Diagnosing Blunt Cerebrovascular Injuries
Multidetector CTA for Diagnosing Blunt Cerebrovascular Injuries 4 th Nordic Trauma Course 2006 Stuart E. Mirvis, M.D., FACR Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland
Bilateral blunt carotid artery injury: A case report and review of the literature
CASE REPORT Bilateral blunt carotid artery injury: A case report and review of the literature S Cheddie, 1 MMed (Surg), FCS (SA); B Pillay, 2 FCS (SA), Cert Vascular Surgery; R Goga, 2 FCS (SA) 1 Department
Challenges. 1. Sizing. 2. Proximal landing zone 3. Distal landing zone 4. Access vessels 5. Spinal cord ischemia 6. Endoleak
Disclosure I have the following potential conflicts of interest to report: Consulting: Medtronic, Gore Employment in industry Stockholder of a healthcare company Owner of a healthcare company Other(s)
NON-ATHEROSCLEROTIC PATHOLOGY OF THE CAROTID ARTERIES
NON-ATHEROSCLEROTIC PATHOLOGY OF THE CAROTID ARTERIES Leslie M. Scoutt, MD, FACR Professor of Diagnostic Radiology & Surgery Vice Chair, Dept of Radiology & Biomedical Imaging Chief, Ultrasound Section
Development of a Branched LSA Endograft & Ascending Aorta Endograft
Development of a Branched LSA Endograft & Ascending Aorta Endograft Frank R. Arko III, MD Sanger Heart & Vascular Institute Carolinas Medical Center Charlotte, North Carolina, USA Disclosures Proximal
Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry
University of Milan Thoracic Aortic Research Center Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry Santi Trimarchi, MD, PhD Associate
account for 10% to 15% of all traffic fatalities majority fatal at the scene 50% who survive the initial injury die in the first 24 hours 90% die
account for 10% to 15% of all traffic fatalities majority fatal at the scene 50% who survive the initial injury die in the first 24 hours 90% die within the first month if aorta not repaired 30-90% overall
Neurological Complications of TEVAR. Frank J Criado, MD. Union Memorial-MedStar Health Baltimore, MD USA
ISES Online Neurological Complications of Frank J Criado, MD TEVAR Union Memorial-MedStar Health Baltimore, MD USA frank.criado@medstar.net Paraplegia Incidence is 0-4% after surgical Rx of TAAs confined
Recommendations for Follow-up After Vascular Surgery Arterial Procedures SVS Practice Guidelines
Recommendations for Follow-up After Vascular Surgery Arterial Procedures 2018 SVS Practice Guidelines vsweb.org/svsguidelines About the guidelines Published in the July 2018 issue of Journal of Vascular
TEVAR for trauma is here to stay: Advances in the Treatment of Blunt Thoracic Aortic Injury
TEVAR for trauma is here to stay: Advances in the Treatment of Blunt Thoracic Aortic Injury Megan Brenner MD MS RPVI FACS Associate Professor of Surgery Division of Trauma/Surgical Critical Care, RA Cowley
Case 37 Clinical Presentation
Case 37 73 Clinical Presentation The patient is a 62-year-old woman with gastrointestinal (GI) bleeding. 74 RadCases Interventional Radiology Imaging Findings () Image from a selective digital subtraction
Reimbursement Guide Zenith Fenestrated AAA Endovascular Graft
MEDICAL Reimbursement Guide Zenith Fenestrated AAA Endovascular Graft Disclaimer: The information provided herein reflects Cook s understanding of the procedure(s) and/or device(s) from sources that may
DISCLOSURES ISOLATED DTA LESION? TYPE B DISSECTIONS TREATMENT OPTIONS
Endovascular Repair of Aortic Arch Pathologies; What is available/possible in the U.S. in 2018? Kaiser Permanente Endovascular Symposium 6/2/18 Sukgu M Han, MD, MS Assistant Professor of Clinical Surgery
Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui
Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui Aortic Center, Lille University Hospital, France Disclosures
Question 2. What percentage of abdominal trauma involve the kidney? a) 5 % b) 10% c) 15 % d) 20 %
Quiz Question 1 After injecting 2ml/kg of contrast for a patient needing a single-shot IVP before kidney exploration, What is the best turnaround time to take the X-ray? a) 3 minutes b) 5 minutes c) 10
Free Esophageal Perforation Following Hybrid Visceral Debranching and Distal Endograft Extension to Repair a Ruptured Thoracoabdominal Aortic
Free Esophageal Perforation Following Hybrid Visceral Debranching and Distal Endograft Extension to Repair a Ruptured Thoracoabdominal Aortic Aneurysm History A 56-year-old gentleman, who had been referred
TRAUMATIC CAROTID &VERTEBRAL ARTERY INJURIES
TRAUMATIC CAROTID &VERTEBRAL ARTERY INJURIES ALBERTO MAUD, MD ASSOCIATE PROFESSOR TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO PAUL L. FOSTER SCHOOL OF MEDICINE 18TH ANNUAL RIO GRANDE TRAUMA 2017
PROTOCOLS. Lap-belt syndrome. Principal investigator. Background
Lap-belt syndrome Principal investigator Claude Cyr, MD, Centre hospitalier universitaire de Sherbrooke, 3001 12 e Avenue Nord, Sherbrooke QC J1H 5N4; tel.: (819) 346-1110, ext. 14634; fax: (819) 564-5398;
No Disclosure. Aortic Dissection in Japan. This. The Challenge of Acute and Chronic Type B Aortic Dissections with Endovascular Aortic Repair
No Disclosure The Challenge of Acute and Chronic Type B Aortic Dissections with Endovascular Aortic Repair Toru Kuratani Department of Cardiovascular Surgery Osaka University Graduate School of Medicine,
Primary to non-coronary IVUS
codes 2018 2018 codes Primary to non-coronary IVUS Page 2 All coding, coverage, billing and payment information provided herein by Philips is gathered from third-party sources and is subject to change.
Diagnosis & Management of Kidney Trauma. LAU - Urology Residency Program LOP Urology Residents Meeting
Diagnosis & Management of Kidney Trauma LAU - Urology Residency Program LOP Urology Residents Meeting Outline Introduction Investigation Staging Treatment Introduction The kidneys are the most common genitourinary
Endovascular therapy for Ischemic versus Nonischemic complicated acute type B aortic dissection (catbad).
Endovascular therapy for Ischemic versus Nonischemic complicated acute type B aortic dissection (catbad). AS. Eleshra, MD 1, T. Kölbel, MD, PhD 1, F. Rohlffs, MD 1, N. Tsilimparis, MD, PhD 1,2 Ahmed Eleshra
Abdominal and thoracic aneurysm repair
Abdominal and thoracic aneurysm repair William A. Gray MD Director, Endovascular Intervention Cardiovascular Research Foundation Columbia University Medical Center Abdominal Aortic Aneurysm Endografts
Traumatic Renocaval Fistula With Pseudoaneurysm Leading To Renal Atrophy
ISPUB.COM The Internet Journal of Radiology Volume 6 Number 2 Traumatic Renocaval Fistula With Pseudoaneurysm Leading To Renal Atrophy M Kukkady, A Deena, S Raj, Ramachandra Citation M Kukkady, A Deena,
Vascular Intervention
10 : 389-393, 2001 B Vascular Intervention 1 1 2 1 1 1 1 3 2 1 1997 7 2000 4 B 29 19 10 50 84 66.1 stent graft S/G primary entry stenting S/G 12 4 2 1 1 40 mm 8 1 MOF 1 endoleak + 11 91.6% 10 stenting
Total endovascular techniques utilization in aortic dissection radical treatment
Total endovascular techniques utilization in aortic dissection radical treatment Chang Shu, MD, PhD Vascular Surgery Center National Center for Cardiovascular Diseases. Fuwai Hospital, CAMS & PUMC Beijing,
Pediatric emergencies. Emergent Neuroimaging Acute chest (non-trauma) Acute abdomen (non-trauma) Sports injuries (trauma) Highlights/Trends Polytrauma
Department of Clinical Radiology, Munich University Hospital Pediatric emergencies Emergent Neuroimaging Acute chest (non-trauma) Acute abdomen (non-trauma) Sports injuries (trauma) Highlights/Trends Polytrauma
Thoracic and Great Vessel Imaging and Intervention
Thoracic and Great Vessel Imaging and Intervention Shelley R. Marder, M.D. The Kaiser Permanente Medical Group Clinical Faculty, SFGH, UCSF Traumatic aortic injury Shearing / shoveling forces at junction
DISCLOSURE TEST YOUR WAVEFORM IQ. Partial volume artifact. 86 yo female with right arm swelling, picc line. AVF on left? Dx?
Deborah Rubens University of Rochester Rochester, NY DISCLOSURE Neither I nor my immediate family have a financial relationship with a commercial organization that may have a direct or indirect interest
Update on Acute Aortic Syndrome
SUNDAY Update on Acute Aortic Syndrome Diana Litmanovich, MD Learning objectives To be familiar with the definition, natural history, and imaging findings of acute aortic syndrome, including: I. Aortic
How to achieve a successful proximal sealing in TEVAR? Pr L Canaud
How to achieve a successful proximal sealing in TEVAR? Pr L Canaud CHU de Montpellier France Disclosure I have the following potential conflicts of interest to report: Consulting: Medtronic. Proximal neck
CUSTOM-MADE SCALLOPED THORACIC ENDOGRAFTS IN DIFFERENT HOSTILE AORTIC ANATOMIES
CUSTOM-MADE SCALLOPED THORACIC ENDOGRAFTS IN DIFFERENT HOSTILE AORTIC ANATOMIES A SERIES OF THREE CASE REPORTS Joel Sousa Department of Department of Angiology and Vascular Surgery Hospital S. João, Porto,
Case 8036 Multiple penetrating atherosclerotic ulcers
Case 8036 Multiple penetrating atherosclerotic ulcers Santiago I, Seco M, Curvo-Semedo L Section: Cardiovascular Published: 2010, Feb. 22 Patient: 78 year(s), male Clinical History A 78-year-old hypertensive
Open fenestration for complicated acute aortic B dissection
Art of Operative Techniques Open fenestration for complicated acute aortic B dissection Santi Trimarchi 1, Sara Segreti 1, Viviana Grassi 1, Chiara Lomazzi 1, Marta Cova 1, Gabriele Piffaretti 2, Vincenzo
Subclavian artery Stenting
Subclavian artery Stenting Etiology Atherosclerosis Takayasu s arteritis Fibromuscular dysplasia Giant Cell Arteritis Radiation-induced Vascular Injury Thoracic Outlet Syndrome Neurofibromatosis Incidence
Diseases of the aorta
Diseases of the aorta Aneurysm, dissection and aortitis are the main pathologies (Fig. 18.79 ). data:text/html;charset=utf-8,%3ch2%20id%3d%22cc5a0836d6aa490ca26dd7c15632b559%22%20style%3d%22margin%3a%201.3em%200px%200.5em%3b%20padding%3a%200px%3b%20border%3a%200px%3b%20font-fa
Vascular CT Protocols
Vascular CT Protocols V 1D: Chest and abdominal CT angiogram (aortic dissection protocol) V 1T: Chest CT angiogram (aortic trauma protocol) V 2: Abdominal and pelvis CT angiogram (aortic aneurysm protocol)
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant INDICATION: Abdominal aortic aneurysm. INTERVENTIONAL RADIOLOGIST:
+ Why screen? BCVI relatively rare- about 0.5-2%
Kathleen R. Fink, MD University of Washington UW Medicine EMS & Trauma Conference September 27, 2016 Why screen? BCVI relatively rare- about 0.5-2% (0.075% 1.55%) Catastrophic potential (stroke) Aggressive
Percutaneous Approaches to Aortic Disease in 2018
Percutaneous Approaches to Aortic Disease in 2018 Wendy Tsang, MD, SM Assistant Professor, University of Toronto Toronto General Hospital, University Health Network Case 78 year old F Lower CP and upper
Penetrating Neck Injuries. Jason Levine MD Lutheran Medical Center July 22, 2010
Penetrating Neck Injuries Jason Levine MD Lutheran Medical Center July 22, 2010 CASE PRESENTATION 19 YO M 3 Stab Wounds Right zone I neck SW 2 SW anterior abdomen Left epigastrium anterior axillary line
Internal Carotid Artery Dissection
May 2011 Internal Carotid Artery Dissection Carolyn April, HMS IV Agenda Presentation of a clinical case Discussion of the clinical features of ICA dissection Discussion of the imaging modalities used
ADDITIONS. The following codes have been added.
ADDITIONS The following codes have been added. 99446 Interprofessional telephone/internet assessment and management service provided by treating/requesting physician or other qualified health care professional;
Χρόνιος διαχωρισμός. υπερηχοκαρδιογραφική. αορτής. παρακολούθηση ή άλλη; Α. Παπασπυρόπουλος ΕΠΙΜΕΛΗΤΗΣ ΓΝ.ΝΙΚΑΙΑΣ ΠΕΜΠΤΗ
Χρόνιος διαχωρισμός αορτής υπερηχοκαρδιογραφική παρακολούθηση ή άλλη; Α. Παπασπυρόπουλος ΕΠΙΜΕΛΗΤΗΣ ΓΝ.ΝΙΚΑΙΑΣ ΠΕΜΠΤΗ 8-2-2018 The Normal Aorta (conduit function + control ) *Aortic expansion is about
P Paraplegia abdominal aortic aneurysm repair, 52 paraparesis, 52 pathophysiology, 51 rates and endografts, 51 two-stage approach, 129
A AAA. See Abdominal aortic aneurysm (AAA) Abdominal aortic aneurysm (AAA). See also Abdominal aortic pathologies advantage, IVUS, 20 asymptomatic infrarenal, 154 device selection and treatment, 19 20
Diseases of the Aorta
Diseases of the Aorta ASE Review 2018 Susan E Wiegers, MD, FASE, FACC Professor of Medicine My great friend Dr. Roberto Lang Disclosure None related to this presentation 1 Objectives Aneurysm Dissection
Paraplegia in endovascular repair of TAA and in TEVAR: Incidence, prevention and therapy. Johannes Lammer Medical University Vienna, Austria
Paraplegia in endovascular repair of TAA and in TEVAR: Incidence, prevention and therapy Johannes Lammer Medical University Vienna, Austria Conflict of interests: none 68y, male, PAU in coral reef aorta,
Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS. Arch Pathology: The Endovascular Era is here
Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS Arch Pathology: The Endovascular Era is here Disclosures Consultant: Cook Medical, Bolton Medical, Medtronic Inc, Volcano,
ACUTE AORTIC SYNDROMES
ACUTE AORTIC SYNDROMES AGNETA FLINCK MD, PhD Dept. of Thoracic Radiology Sahlgrenska University Hospital ACUTE AORTIC SYNDROMES Aortic dissection Intramural hematoma (IMH) 5-20% Penetrating atherosclerotic
Subject: Endovascular Stent Grafts for Disorders of the Thoracic Aorta
02-33000-29 Original Effective Date: 04/15/03 Reviewed: 07/26/18 Revised: 08/15/18 Subject: Endovascular Stent Grafts for Disorders of the Thoracic Aorta THIS MEDICAL COVERAGE GUIDELINE IS NOT AN AUTHORIZATION,
Advances in MDCT of Thoracic Trauma
Baltic Congress of Radiology, Riga 2010 Advances in MDCT of Thoracic Trauma Robert A. Novelline, MD Professor of Radiology, Harvard Medical School Director of Emergency Radiology, Massachusetts General
Post traumatic vertebro basilar dissection: case report and review of literature
Romanian Neurosurgery Volume XXXI Number 3 2017 July-September Article Post traumatic vertebro basilar dissection: case report and review of literature Karthikeyan Y.R., Sanjeev Chopra, Somnath Sharma,
Abdominal & retroperitoneal endovascular intervention, Bo Kalin, Karolinska Hospital
Abdominal & retroperitoneal endovascular intervention, Bo Kalin, Karolinska Hospital What is endovascular therapy. Diagnosing Traumatic Arterial Injury Clinical signs CT / CT-angiography To diminish a
The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations
The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations Joseph V. Lombardi, MD Professor & Chief, Division of Vascular & Endovascular Surgery Department of Surgery,
Blunt Thoracic Aortic Injury
September 2004 Blunt Thoracic Aortic Injury Richelle Williams, Harvard Medical School, Year III Blunt Aortic Injury ~8000 deaths/year in the U.S. Most common cause of sudden death following: - high-speed
Aortic arch pathology. Cerebral ischemia following carotid artery stenosis.
Important: -Subclavian Steal Syndrome -Cerebral ischemia Aortic arch pathology. Cerebral ischemia following carotid artery stenosis. Mina Aubeed & Alba Hernández Pinilla Aortic arch pathology Common arch
Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when?
Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when? Prof. Olgierd Rowiński II Department of Clinical Radiology Medical University of Warsaw Disclosure Speaker name: Olgierd
Management of cervicocephalic arterial dissection. Ciro G. Randazzo, MD, MPH Thomas Jefferson University Hospital, Department of Neurosurgery
Management of cervicocephalic arterial dissection Ciro G. Randazzo, MD, MPH Thomas Jefferson University Hospital, Department of Neurosurgery Definition Disruption of arterial wall, either at level of intima-media
Multislice CT. - fast scanning - submilimeter slices
CT angiography Multislice CT - fast scanning - submilimeter slices CT angiography - Minimal invasivity - High resolution (similar to DSA, higher than MRI) - Cannot assess hemodynamics (contrary to DSA)
Hybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm
Hybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm Virendra I. Patel MD MPH Assistant Professor of Surgery Massachusetts General Hospital Division of Vascular and Endovascular Surgery Disclosure
How to Determine Tolerance for Branch Vessel Coverage
How to Determine Tolerance for Branch Vessel Coverage Venita Chandra, MD Clinical Assistant Professor of Surgery Division of Stanford Medical School, Stanford, CA PNEC May 25 th, 2017 DISCLOSURES Venita
Acute Aortic Syndromes
Acute Aortic Syndromes None Disclosures Smita Patel, M.B.B.S., M.R.C.P., F.R.C.R. Associate Professor, University of Michigan Ann Arbor, MI Objectives To review common CTA findings of acute aortic syndromes
OPEN REOPERATIONS FOR COMPLICATIONS OF ENDOVASCULAR AORTIC PROCEDURES: TIP OF THE ICEBERG?
OPEN REOPERATIONS FOR COMPLICATIONS OF ENDOVASCULAR AORTIC PROCEDURES: TIP OF THE ICEBERG? NICHOLAS T. KOUCHOUKOS, MD DIVISION OF CARDIOVASCULAR AND THORACIC SURGERY MISSOURI BAPTIST MEDICAL CENTER ST.
COMPLICATIONS OF TEVAR
COMPLICATIONS OF TEVAR P. Bergeron, A.Petrosyan, F.Markatis, T.Abdulamit, J.-C. Trastour IMAD CONGRESS 2010 Liège Belgium BACKGROUND Stentgrafting is a recognized treatment for TAA & TAD and has been proposed
Fall down stairs. Left rib fractures. John A Cieslak III, MD, PhD Charan Singh, MD
Fall down stairs. Left rib fractures. John A Cieslak III, MD, PhD Charan Singh, MD ? Splenic lacerations, hemoperitoneum, and traumatic pseudoaneurysm formation. High attenuation extraluminal contrast
SCAI Fall Fellows Course Subclavian/Innominate Case Presentation
SCAI Fall Fellows Course 2012 Subclavian/Innominate Case Presentation Daniel J. McCormick DO, FACC, FSCAI Director, Cardiovascular Interventional Therapy Pennsylvania Hospital University of Pennsylvania
General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]
![General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]](/thumbs/76/74079340.jpg "General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]")
General Imaging Imaging modalities Conventional X-rays Ultrasonography [ US ] Computed tomography [ CT ] Radionuclide imaging Magnetic resonance imaging [ MRI ] Angiography conventional, CT,MRI Interventional
SAVE THE DATE! MARCH 3-7, 2019 GRAND WAILEA MAUI, HAWAII DIAGNOSTIC AND THERAPEUTIC APPROACHES TO VASCULAR DISEASE FOR MORE DETAILS, VISIT
SAVE THE DATE! MARCH 3-7, 2019 GRAND WAILEA MAUI, HAWAII FOR MORE DETAILS, VISIT WWW.STRANDNESS.ORG DIAGNOSTIC AND THERAPEUTIC APPROACHES TO VASCULAR DISEASE Arterial Aneurysms in a Patient with Ehlers
Aortic Center of Excellence at Sentara
Gordon K. Stokes, MD, FACS Eastern Virginia Medical School Sentara Vascular Specialists Norfolk, VA Aortic Center of Excellence at Sentara April 25, 2014 Disclosures I have no disclosures relevant to this
Animesh Rathore, MD 4/21/17. Penetrating atherosclerotic ulcers of aorta
Animesh Rathore, MD 4/21/17 Penetrating atherosclerotic ulcers of aorta Disclosures No financial disclosures Thank You Dr. Panneton for giving this lecture for me. I am stuck at Norfolk with an emergency
Radiology Afterhours: ATAI and Interesting Cases
Radiology Afterhours: ATAI and Interesting Cases Jeff Dunkle, MD February 21, 2011 Disclosures: I have nothing to disclose. Assistant Professor of Clinical Radiology, Department of Radiology and Imaging
Asymptomatic Radiology / Clinical data Report / Cohort bias Referral bias. UCSF Vascular Symposium April 7-9, Acute Aortic Dissection
Aortic Dissection: Natural History What is the Natural History of Aortic Dissection? UCSF Vascular Symposium April 7-9, 2011 Asymptomatic Radiology / Clinical data Report / Cohort bias Referral bias Stephen
Technique and Outcome of Laser Fenestration For Arch Vessels
Technique and Outcome of Laser Fenestration For Arch Vessels Jean M. Panneton MD, FRCSC, FACS Professor of Surgery Chief & Program Director Division of Vascular Surgery Eastern Virginia Medical School
Management of Acute Aortic Syndromes. M. Grabenwoger, MD Dept. of Cardiovascular Surgery Hospital Hietzing, Vienna, Austria
Management of Acute Aortic Syndromes M. Grabenwoger, MD Dept. of Cardiovascular Surgery Hospital Hietzing, Vienna, Austria I have nothing to disclose. Acute Aortic Syndromes Acute Aortic Dissection Type
Pediatric Abdomen Trauma
Pediatric Abdomen Trauma Susan D. John, MD, FACR Pediatric Trauma Trauma is leading cause of death and disability in children and adolescents Causes and effects vary between age groups Blunt trauma predominates
SUPPLEMENTAL MATERIAL
SUPPLEMENTL MTERIL Marie erna, Martin Kocher, Rohit Philip Thomas. cute aorta, overview of acute T findings and endovascular treatment options (doi: 10.5507/bp.2016.060) Fig. 1. : Non-enhanced T, hemopericardium
Follow-up of Aortic Dissection: How, How Often, Which Consequences Euro Echo 2011
Follow-up of Aortic Dissection: How, How Often, Which Consequences Euro Echo 2011 Susan E. Wiegers, MD, FASE Director of Clinical Echocardiography Hospital of the University of Pennsylvania Disclosure
Peter I. Kalmar, 1 Peter Oberwalder, 2 Peter Schedlbauer, 1 Jürgen Steiner, 1 and Rupert H. Portugaller Introduction. 2.
Case Reports in Medicine Volume 2013, Article ID 714914, 4 pages http://dx.doi.org/10.1155/2013/714914 Case Report Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the
Artery 1 Head and Thoracic Arteries. Arrange the parts in the order blood flows through them.
Artery 1 Head and Thoracic Arteries 1. Given the following parts of the aorta: 1. abdominal aorta 2. aortic arch 3. ascending aorta 4. thoracic aorta Arrange the parts in the order blood flows through
Abdominal Aortic Aneurysms. A Surgeons Perspective Dr. Derek D. Muehrcke
Abdominal Aortic Aneurysms A Surgeons Perspective Dr. Derek D. Muehrcke Aneurysm Definition The abnormal enlargement or bulging of an artery caused by an injury or weakness in the blood vessel wall A localized
SAMPLE EDITION PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION. Cardiovascular Illustrations and Guidelines
Cardiovascular Illustrations and Guidelines PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION ANGIOPLASTY INTRAVASCULAR STENT PLACEMENT ATHERECTOMY For Fem-Pop Territory Angioplasty
Schedule of Benefits. for Professional Fees Vascular Procedures
Schedule of Benefits for Professional Fees 2018 Vascular Procedures ANASTOMOSIS RULES 820 Arteriovenous anastomosis in arm 1453 Arteriovenous anastomosis, open by basilic vein transposition 1465 Splenorenal
Case 9799 Stanford type A aortic dissection: US and CT findings
Case 9799 Stanford type A aortic dissection: US and CT findings Accogli S, Aringhieri G, Scalise P, Angelini G, Pancrazi F, Bemi P, Bartolozzi C Department of Diagnostic and Interventional Radiology, University