Skip to main content
Top
Published in: European Radiology 5/2009

01-05-2009 | Vascular-Interventional

CT appearance of complications related to thoracic endovascular aortic repair (TEVAR): a pictorial essay

Authors: U. Pua, K. H. Tay, B. S. Tan, M. M. Htoo, M. Sebastian, K. Sin, Y. L. Chua

Published in: European Radiology | Issue 5/2009

Login to get access

Abstract

Thoracic endovascular aortic repair (TEVAR) is a recognized treatment for various diseases involving the thoracic aorta. Patients treated with TEVAR require lifelong surveillance for potential complications, with CT being highly utilized in most centres. Endoleak is the most common complication and can be detected using CT. However, other complications such as stent strut perforations and end organ ischemia can also be detected on CT. The purpose of this pictorial essay is to illustrate the CT appearance of post-TEVAR complications encountered in our institution and to highlight their significance.
Literature
1.
go back to reference Bortone AS, De Cillis E, D’Agostino D, de Luca Tupputi Schinosa L (2004) Endovascular treatment of thoracic aortic disease: four years of experience. Circulation 110:II262–267PubMedCrossRef Bortone AS, De Cillis E, D’Agostino D, de Luca Tupputi Schinosa L (2004) Endovascular treatment of thoracic aortic disease: four years of experience. Circulation 110:II262–267PubMedCrossRef
2.
go back to reference Bortone AS, Schena S, Mannatrizio G, Paradiso V, Ferlan G, Dialetto G, Cotrufo M, de Luca Tupputi Schinosa L (2001) Endovascular stent-graft treatment for diseases of the descending thoracic aorta. Eur J Cardiothorac Surg 20:514–519PubMedCrossRef Bortone AS, Schena S, Mannatrizio G, Paradiso V, Ferlan G, Dialetto G, Cotrufo M, de Luca Tupputi Schinosa L (2001) Endovascular stent-graft treatment for diseases of the descending thoracic aorta. Eur J Cardiothorac Surg 20:514–519PubMedCrossRef
3.
go back to reference Faries PL, Lang E, Ramdev P, Hollier LH, Marin ML, Pomposelli FB Jr (2002) Endovascular stent-graft treatment of a ruptured thoracic aortic ulcer. J Endovasc Ther 9:II20–24PubMedCrossRef Faries PL, Lang E, Ramdev P, Hollier LH, Marin ML, Pomposelli FB Jr (2002) Endovascular stent-graft treatment of a ruptured thoracic aortic ulcer. J Endovasc Ther 9:II20–24PubMedCrossRef
4.
go back to reference Demers P, Miller DC, Mitchell RS, Kee ST, Chagonjian L, Dake MD (2004) Stent-graft repair of penetrating atherosclerotic ulcers in the descending thoracic aorta: mid-term results. Ann Thorac Surg 77:81–86PubMedCrossRef Demers P, Miller DC, Mitchell RS, Kee ST, Chagonjian L, Dake MD (2004) Stent-graft repair of penetrating atherosclerotic ulcers in the descending thoracic aorta: mid-term results. Ann Thorac Surg 77:81–86PubMedCrossRef
5.
go back to reference Svensson LG, Crawford ES (1997) Statistical analyses of operative results. In: Cardiovascular and vascular disease of the aorta. Saunders, Philadelphia, pp 432–455 Svensson LG, Crawford ES (1997) Statistical analyses of operative results. In: Cardiovascular and vascular disease of the aorta. Saunders, Philadelphia, pp 432–455
6.
go back to reference Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP (1994) Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 331:1729–1734PubMedCrossRef Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP (1994) Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 331:1729–1734PubMedCrossRef
8.
go back to reference Fattori R, Nienaber CA, Rousseau H, Beregi JP, Heijmen R, Grabenwöger M, Piquet P, Lovato L, Dabbech C, Kische S, Gaxotte V, Schepens M, Ehrlich M, Bartoli JM (2006) Talent thoracic retrospective registry. Results of endovascular repair of the thoracic aorta with the talent thoracic stent graft: the talent thoracic retrospective registry. J Thorac Cardiovasc Surg 132:332–339PubMedCrossRef Fattori R, Nienaber CA, Rousseau H, Beregi JP, Heijmen R, Grabenwöger M, Piquet P, Lovato L, Dabbech C, Kische S, Gaxotte V, Schepens M, Ehrlich M, Bartoli JM (2006) Talent thoracic retrospective registry. Results of endovascular repair of the thoracic aorta with the talent thoracic stent graft: the talent thoracic retrospective registry. J Thorac Cardiovasc Surg 132:332–339PubMedCrossRef
9.
go back to reference Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, Eggebrecht H, Elefteriades JA, Erbel R, Gleason TG, Lytle BW, Mitchell RS, Nienaber CA, Roselli EE, Safi HJ, Shemin RJ, Sicard GA, Sundt TM 3rd, Szeto WY, Wheatley GH 3rd (2008) Society of thoracic surgeons endovascular surgery task force. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg 85:S1–S41PubMedCrossRef Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, Eggebrecht H, Elefteriades JA, Erbel R, Gleason TG, Lytle BW, Mitchell RS, Nienaber CA, Roselli EE, Safi HJ, Shemin RJ, Sicard GA, Sundt TM 3rd, Szeto WY, Wheatley GH 3rd (2008) Society of thoracic surgeons endovascular surgery task force. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg 85:S1–S41PubMedCrossRef
10.
go back to reference Leurs LJ, Bell R, Degrieck Y, Thomas S, Hobo R, Lundbom J, EUROSTAR; UK Thoracic Endograft Registry collaborators (2004) Endovascular treatment of thoracic aortic diseases: combined experience from the EUROSTAR and United Kingdom Thoracic Endograft registries. J Vasc Surg 40:670–679; discussion 679–680PubMedCrossRef Leurs LJ, Bell R, Degrieck Y, Thomas S, Hobo R, Lundbom J, EUROSTAR; UK Thoracic Endograft Registry collaborators (2004) Endovascular treatment of thoracic aortic diseases: combined experience from the EUROSTAR and United Kingdom Thoracic Endograft registries. J Vasc Surg 40:670–679; discussion 679–680PubMedCrossRef
11.
go back to reference Makaroun MS, Dillavou ED, Kee ST, Sicard G, Chaikof E, Bavaria J, Williams D, Cambria RP, Mitchell RS (2005) Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the GORE TAG thoracic endoprosthesis. J Vasc Surg 41:1–9PubMedCrossRef Makaroun MS, Dillavou ED, Kee ST, Sicard G, Chaikof E, Bavaria J, Williams D, Cambria RP, Mitchell RS (2005) Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the GORE TAG thoracic endoprosthesis. J Vasc Surg 41:1–9PubMedCrossRef
13.
go back to reference Garzon G, Fernandez-Velilla M, Marti M, Acitores I, Ybanez F, Riera L (2005) Endovascular stent-graft treatment of thoracic aortic disease. Radiographics 25:S229–S244PubMedCrossRef Garzon G, Fernandez-Velilla M, Marti M, Acitores I, Ybanez F, Riera L (2005) Endovascular stent-graft treatment of thoracic aortic disease. Radiographics 25:S229–S244PubMedCrossRef
14.
go back to reference Stavropoulos SW, Clark TW, Carpenter JP, Fairman RM, Litt H, Velazquez OC, Insko E, Farner M, Baum RA (2005) Use of CT angiography to classify endoleaks after endovascular repair of abdominal aortic aneurysms. J Vasc Interv Radiol 16:663–667PubMed Stavropoulos SW, Clark TW, Carpenter JP, Fairman RM, Litt H, Velazquez OC, Insko E, Farner M, Baum RA (2005) Use of CT angiography to classify endoleaks after endovascular repair of abdominal aortic aneurysms. J Vasc Interv Radiol 16:663–667PubMed
15.
go back to reference Lee JT, White RA (2003) Endografting for thoracic aneurysm has replaced the need for open surgery. In: Greenhalgh RM (ed) Vascular and endovascular controversies. BIBA Medical, London Lee JT, White RA (2003) Endografting for thoracic aneurysm has replaced the need for open surgery. In: Greenhalgh RM (ed) Vascular and endovascular controversies. BIBA Medical, London
16.
go back to reference Rozenblit AM, Patlas M, Rosenbaum AT, Okhi T, Veith FJ, Laks MP, Ricci ZJ (2003) Detection of endoleaks after endovascular repair of abdominal aortic aneurysm: value of unenhanced and delayed helical CT acquisitions. Radiology 227:426–433PubMedCrossRef Rozenblit AM, Patlas M, Rosenbaum AT, Okhi T, Veith FJ, Laks MP, Ricci ZJ (2003) Detection of endoleaks after endovascular repair of abdominal aortic aneurysm: value of unenhanced and delayed helical CT acquisitions. Radiology 227:426–433PubMedCrossRef
17.
go back to reference Zimpfer D, Schoder M, Gottardi R, Lammer J, Wolner E, Grimm M, Czerny M (2007) Treatment of type V endoleaks by endovascular redo stent-graft placement. Ann Thorac Surg 83:664–666PubMedCrossRef Zimpfer D, Schoder M, Gottardi R, Lammer J, Wolner E, Grimm M, Czerny M (2007) Treatment of type V endoleaks by endovascular redo stent-graft placement. Ann Thorac Surg 83:664–666PubMedCrossRef
18.
go back to reference Eggebrecht H, Baumgart D, Radecke K, von Birgelen C, Treichel U, Herold U, Hunold P, Gerken G, Jakob H, Erbel R (2004) Aortoesophageal fistula secondary to stent-graft repair of the thoracic aorta. J Endovasc Ther 11:161–167PubMedCrossRef Eggebrecht H, Baumgart D, Radecke K, von Birgelen C, Treichel U, Herold U, Hunold P, Gerken G, Jakob H, Erbel R (2004) Aortoesophageal fistula secondary to stent-graft repair of the thoracic aorta. J Endovasc Ther 11:161–167PubMedCrossRef
19.
go back to reference Amabile P, Grisoli D, Giorgi R, Bartoli JM, Piquet P (2008) Incidence and determinants of spinal cord ischaemia in stent-graft repair of the thoracic aorta. Eur J Vasc Endovasc Surg 35:455–461PubMedCrossRef Amabile P, Grisoli D, Giorgi R, Bartoli JM, Piquet P (2008) Incidence and determinants of spinal cord ischaemia in stent-graft repair of the thoracic aorta. Eur J Vasc Endovasc Surg 35:455–461PubMedCrossRef
20.
go back to reference Totaro M, Miraldi F, Fanelli F, Mazzesi G (2001) Emergency surgery for retrograde extension of type B dissection after endovascular stent graft repair. Eur J Cardiothorac Surg 20:1057–1058PubMedCrossRef Totaro M, Miraldi F, Fanelli F, Mazzesi G (2001) Emergency surgery for retrograde extension of type B dissection after endovascular stent graft repair. Eur J Cardiothorac Surg 20:1057–1058PubMedCrossRef
21.
go back to reference Idu MM, Reekers JA, Balm R, Ponsen KJ, de Mol BA, Legemate DA (2005) Collapse of a stent-graft following treatment of a traumatic thoracic aortic rupture. J Endovasc Ther 12(4):503–507PubMedCrossRef Idu MM, Reekers JA, Balm R, Ponsen KJ, de Mol BA, Legemate DA (2005) Collapse of a stent-graft following treatment of a traumatic thoracic aortic rupture. J Endovasc Ther 12(4):503–507PubMedCrossRef
22.
go back to reference Melissano G, Tshomba Y, Civilini E, Chiesa R (2004) Disappointing results with a new commercially available thoracic endograft. J Vasc Surg 39(1):124–30PubMedCrossRef Melissano G, Tshomba Y, Civilini E, Chiesa R (2004) Disappointing results with a new commercially available thoracic endograft. J Vasc Surg 39(1):124–30PubMedCrossRef
Metadata
Title
CT appearance of complications related to thoracic endovascular aortic repair (TEVAR): a pictorial essay
Authors
U. Pua
K. H. Tay
B. S. Tan
M. M. Htoo
M. Sebastian
K. Sin
Y. L. Chua
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
European Radiology / Issue 5/2009
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-008-1276-3

Other articles of this Issue 5/2009

European Radiology 5/2009 Go to the issue