Download PDF
Int J Angiol 2023; 32(01): 034-042
DOI: 10.1055/s-0042-1744275
Original Article

A Comprehensive Research Schema for the Characterization of Aortic Aneurysms

Hossam Alslaim 
1   Department of Surgery, Medical College of Georgia, Augusta University, Augusta, GA, USA
,
Sreeja Sanampudi
2   Department of Radiology, School of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA
,
Driss Raissi
3   Department of Radiology, University of Kentucky Medical Center, Lexington, KY, USA
,
Weibo Fu
4   Department of Radiology, Medical College of Georgia, Augusta University, Augusta, GA, USA
,
Amanda Y. Behr
5   Department of Medical Illustration, College of Allied Health Sciences, Augusta University, Augusta, GA, USA
,
Mohamed Issa
3   Department of Radiology, University of Kentucky Medical Center, Lexington, KY, USA
,
Mary B. Sheppard
6   Department of Surgery, University of Kentucky Medical Center, Lexington, KY, USA
7   Department of Family Medicine, University of Kentucky Medical Center, Lexington, KY, USA
,
Neal L. Weintraub
8   Department of Internal Medicine, Medical College of Georgia, Augusta University, Augusta, GA, USA
9   Vascular Biology Center, Medical College of Georgia, Augusta University, Augusta, GA, USA
,
Michael Winkler
4   Department of Radiology, Medical College of Georgia, Augusta University, Augusta, GA, USA
8   Department of Internal Medicine, Medical College of Georgia, Augusta University, Augusta, GA, USA
10   School of Art and Visual Studies, College of Fine Arts, University of Kentucky, Lexington, KY, USA
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

A robust, accurate, and standardized approach to measurement of the aorta is critical to improve the predictive accuracy of these aortic measurements, and to investigate other aortic imaging biomarkers. Developing a comprehensive and generic schema for characterization of the aorta to enable investigators to standardize data that are collected across all aorta research. A systematic review of the literature was conducted to identify and assess schemata of aortic measurement and description. The schemata were reported and discussed to guide the synthesis of a comprehensive schema. We propose the International College of Angiology Aortic Research Schema as a comprehensive design that fills the gaps left behind by previously reported schemata. It is intended to be applicable for all clinically relevant purposes, including endograft development for aneurysm repair and for the accurate characterization of the aortic anatomy. This schema divides the aorta into 14 segments and 2 sections (thoracic and abdominal aortas). The segmentation proposed can be used in addition to specific measurements taken for any aneurysm including the neck, and maximal and minimal diameters of the aneurysm.

Keywords

abdominal aortic aneurysm - endovascular repair - hyopgastric aneurysm - aortic dissection - vessel repair - thoracoabdominal aortic aneursym - repair


Publication History

Article published online:
25 June 2022

© 2022. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Centers for Disease Control and Prevention, Underlying Cause of Death 1999–2019 on CDC WONDER Online Database, released 2020. Data are from the Multiple Cause of Death Files, 1999–2019, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed Feb 15, 2022 from: https://wonder.cdc.gov/ucd-icd10.html
    PubMedGoogle Scholar
  • 2 Aortic AFS. Division for Heart Disease and Stroke Prevention [Web Page]. 2016 6/16/2016 [cited 2017; Available from: https://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_aortic_aneurysm.htm
    PubMedGoogle Scholar
  • 3 Kent KC. Clinical practice. Abdominal aortic aneurysms. N Engl J Med 2014; 371 (22) 2101-2108
    CrossrefPubMedGoogle Scholar
  • 4 Karthikesalingam A, Vidal-Diez A, Holt PJ. et al. Thresholds for abdominal aortic aneurysm repair in England and the United States. N Engl J Med 2016; 375 (21) 2051-2059
    CrossrefPubMedGoogle Scholar
  • 5 Sweeting MJ, Thompson SG, Brown LC, Powell JT. RESCAN collaborators. Meta-analysis of individual patient data to examine factors affecting growth and rupture of small abdominal aortic aneurysms. Br J Surg 2012; 99 (05) 655-665
    CrossrefPubMedGoogle Scholar
  • 6 Lindquist Liljeqvist M, Hultgren R, Gasser TC, Roy J. Volume growth of abdominal aortic aneurysms correlates with baseline volume and increasing finite element analysis-derived rupture risk. J Vasc Surg 2016; 63 (06) 1434-1442.e3
    CrossrefPubMedGoogle Scholar
  • 7 Fillinger MF, Greenberg RK, McKinsey JF, Chaikof EL. Society for Vascular Surgery Ad Hoc Committee on TEVAR Reporting Standards. Reporting standards for thoracic endovascular aortic repair (TEVAR). J Vasc Surg 2010; 52 (04) 1022-1033 , 1033.e15
    CrossrefPubMedGoogle Scholar
  • 8 Rylski B, Schofer F, Beyersdorf F. et al. Aortic arch anatomy in candidates for aortic arch repair. Semin Thorac Cardiovasc Surg 2021
    PubMedGoogle Scholar
  • 9 Page MJ, McKenzie JE, Bossuyt PM. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372 (71) n71
    Google Scholar
  • 10 Kawel-Boehm N, Maceira A, Valsangiacomo-Buechel ER. et al. Normal values for cardiovascular magnetic resonance in adults and children. J Cardiovasc Magn Reson 2015; 17: 29
    CrossrefPubMedGoogle Scholar
  • 11 Kaiser T, Kellenberger CJ, Albisetti M, Bergsträsser E, Valsangiacomo Buechel ER. Normal values for aortic diameters in children and adolescents–assessment in vivo by contrast-enhanced CMR-angiography. J Cardiovasc Magn Reson 2008; 10: 56
    CrossrefPubMedGoogle Scholar
  • 12 Evangelista A, Flachskampf FA, Erbel R. et al; European Association of Echocardiography, Document Reviewers. Echocardiography in aortic diseases: EAE recommendations for clinical practice. Eur J Echocardiogr 2010; 11 (08) 645-658
    CrossrefPubMedGoogle Scholar
  • 13 Nollen GJ, Groenink M, Tijssen JG, Van Der Wall EE, Mulder BJ. Aortic stiffness and diameter predict progressive aortic dilatation in patients with Marfan syndrome. Eur Heart J 2004; 25 (13) 1146-1152
    CrossrefPubMedGoogle Scholar
  • 14 Godart F, Labrot G, Devos P, McFadden E, Rey C, Beregi JP. Coarctation of the aorta: comparison of aortic dimensions between conventional MR imaging, 3D MR angiography, and conventional angiography. Eur Radiol 2002; 12 (08) 2034-2039
    CrossrefPubMedGoogle Scholar
  • 15 Asch FM, Yuriditsky E, Prakash SK. et al; GenTAC Investigators. The need for standardized methods for measuring the aorta: multimodality core lab experience from the GenTAC registry. JACC Cardiovasc Imaging 2016; 9 (03) 219-226
    CrossrefPubMedGoogle Scholar
  • 16 Erbel R, Aboyans V, Boileau C. et al; ESC Committee for Practice Guidelines, The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. Eur Heart J 2014; 35 (41) 2873-2926
    CrossrefPubMedGoogle Scholar
  • 17 Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA. Multidetector CT of thoracic aortic aneurysms. Radiographics 2009; 29 (02) 537-552
    CrossrefPubMedGoogle Scholar
  • 18 Criado FJ, Clark NS, Barnatan MF. Stent graft repair in the aortic arch and descending thoracic aorta: a 4-year experience. J Vasc Surg 2002; 36 (06) 1121-1128
    PubMedGoogle Scholar
  • 19 Mitchell RS, Ishimaru S, Ehrlich MP. et al. First International Summit on Thoracic Aortic Endografting: roundtable on thoracic aortic dissection as an indication for endografting. J Endovasc Ther 2002; 9 (Suppl. 02) II98-II105
    CrossrefPubMedGoogle Scholar
  • 20 Nauta FK. Arnoud; Trimarchi, Santi. Penetrating aortic ulcer and intramural hematoma. Endovascular Today 2014.
    Google Scholar
  • 21 Eggebrecht H, Plicht B, Kahlert P, Erbel R. Intramural hematoma and penetrating ulcers: indications to endovascular treatment. Eur J Vasc Endovasc Surg 2009; 38 (06) 659-665
    CrossrefPubMedGoogle Scholar
  • 22 Safi HJ, Miller III CC, Huynh TT. et al. Distal aortic perfusion and cerebrospinal fluid drainage for thoracoabdominal and descending thoracic aortic repair: ten years of organ protection. Ann Surg 2003; 238 (03) 372-380 , discussion 380–381
    CrossrefPubMedGoogle Scholar
  • 23 Criado FJ, Clark NS, Barnatan MF. Stent graft repair in the aortic arch and descending thoracic aorta: a 4-year experience. J Vasc Surg 2002; 36 (06) 1121-1128
    CrossrefPubMedGoogle Scholar
  • 24 Fillinger MF. New imaging techniques in endovascular surgery. Surg Clin North Am 1999; 79 (03) 451-475
    CrossrefPubMedGoogle Scholar
  • 25 Greenberg RK, Lu Q, Roselli EE. et al. Contemporary analysis of descending thoracic and thoracoabdominal aneurysm repair: a comparison of endovascular and open techniques. Circulation 2008; 118 (08) 808-817
    CrossrefPubMedGoogle Scholar
  • 26 Chaikof EL, Blankensteijn JD, Harris PL. et al; Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/American Association for Vascular Surgery. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg 2002; 35 (05) 1048-1060 DOI: 10.1067/mva.2002.123763.
    CrossrefPubMedGoogle Scholar
  • 27 Oderich GS, Forbes TL, Chaer R. et al; Writing Committee Group. Reporting standards for endovascular aortic repair of aneurysms involving the renal-mesenteric arteries. J Vasc Surg 2021; 73 (1S): 4S-52S DOI: 10.1016/j.jvs.2020.06.011.
    CrossrefPubMedGoogle Scholar
  • 28 Sluysmans T, Colan SD. Theoretical and empirical derivation of cardiovascular allometric relationships in children. J Appl Physiol (1985) 2005; 99 (02) 445-457
    CrossrefPubMedGoogle Scholar