What is it about?

Angiographic assessment of type B chronic aortic dissection can be complicated in thoracic endovascular aortic repair (TEVAR) procedures due to a complex flow pattern. The challenge in identifying the true and false lumen and the precise deployment of the endograft in the true lumen are hotspots in endovascular treatment dissections.

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Why is it important?

Q-DSA serves as a real-time application tool that may provide additional support in the angiographic evaluation of type B chronic aortic dissec- tion during TEVAR. Visualizing the complex aortic dissection architecture can be simplified, thereby increasing diagnostic confidence and accuracy.

Perspectives

These preliminary findings can be a stepping-stone for a future pro- spective multicenter study. A related quantitative analysis and comparison with pre-procedural imaging could also further address the value of this technique in a clinical setting. This is very useful in cases of non-uniformity of opinion between operators or for less experienced clinicians.

MD, PhD Giovanni Tinelli
Gemelli Foundation Catholic University of Rome

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This page is a summary of: Quantitative digital subtraction angiography during type B chronic aortic dissection endovascular repair, Vascular Medicine, October 2017, SAGE Publications,
DOI: 10.1177/1358863x17737167.
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