The role of diameter versus volume as the best prognostic measurement of abdominal aortic aneurysms

Kitagawa, Atsushi; Mastracci, Tara M.; von Allmen, Regula; Powell, Janet T. (2013). The role of diameter versus volume as the best prognostic measurement of abdominal aortic aneurysms. Journal of vascular surgery, 58(1), pp. 258-265. Elsevier 10.1016/j.jvs.2013.05.001

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Accurate measurement of abdominal aortic aneurysms is necessary to predict rupture risk and, more recently, to follow aneurysm sac behavior following endovascular repair. Up until this point, aneurysm diameter has been the most common measurement utilized for these purposes. Although aneurysm diameter is predictive of rupture, accurate measurement is hindered by such factors as aortic tortuosity and interobserver variability, and it does not account for variations in morphology such as saccular aneurysms. Additionally, decreases in aneurysm diameter do not completely describe the somewhat complex remodeling seen following endovascular repair of aortic aneurysms. Measurement of aneurysm volume has the advantage of describing aneurysm morphology in a multidimensional fashion, but it has not been readily available or easily measured until recently. This has changed with the introduction of commercially available software tools that permit quicker and easier to perform volume measurements. Whether it is time for volume to replace, or compliment, diameter is the subject of the current debate.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

von Allmen, Regula

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0741-5214

Publisher:

Elsevier

Language:

English

Submitter:

Sara Baumberger

Date Deposited:

20 Jun 2014 07:42

Last Modified:

20 Jun 2014 07:42

Publisher DOI:

10.1016/j.jvs.2013.05.001

PubMed ID:

23806259

URI:

https://boris.unibe.ch/id/eprint/53920

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