Artículo

Casciaro, M.E.; El-Batti, S.; Chironi, G.; Simon, A.; Mousseaux, E.; Armentano, R.L.; Alsac, J.-M.; Craiem, D. "Deformable Surface Model for the Evaluation of Abdominal Aortic Aneurysms Treated with an Endovascular Sealing System" (2016) Annals of Biomedical Engineering. 44(5):1381-1391
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Abstract:

Rupture of abdominal aortic aneurysms (AAA) is responsible for 1–3% of all deaths among the elderly population in developed countries. A novel endograft proposes an endovascular aneurysm sealing (EVAS) system that isolates the aneurysm wall from blood flow using a polymer-filled endobag that surrounds two balloon-expandable stents. The volume of injected polymer is determined by monitoring the endobag pressure but the final AAA expansion remains unknown. We conceived and developed a fully deformable surface model for the comparison of pre-operative sac lumen size and final endobag size (measured using a follow-up scan) with the volume of injected polymer. Computed tomography images were acquired for eight patients. Aneurysms were manually and automatically segmented twice by the same observer. The injected polymer volume resulted 9% higher than the aneurysm pre-operative lumen size (p < 0.05), and 11% lower than the final follow-up endobag volume (p < 0.01). The automated method required minimal user interaction; it was fast and used a single set of parameters for all subjects. Intra-observer and manual vs. automated variability of measured volumes were 0.35 ± 2.11 and 0.07 ± 3.04 mL, respectively. Deformable surface models were used to quantify AAA size and showed that EVAS system devices tended to expand the sac lumen size. © 2015, Biomedical Engineering Society.

Registro:

Documento: Artículo
Título:Deformable Surface Model for the Evaluation of Abdominal Aortic Aneurysms Treated with an Endovascular Sealing System
Autor:Casciaro, M.E.; El-Batti, S.; Chironi, G.; Simon, A.; Mousseaux, E.; Armentano, R.L.; Alsac, J.-M.; Craiem, D.
Filiación:Facultad de Ingeniería Ciencias Exactas y Naturales, Favaloro University, Solís 453, Ciudad Autónoma de Buenos Aires, Argentina
Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina
APHP, Centre de Médecine Préventive Cardiovasculaire, Hôpital Européen Georges Pompidou, Paris, France
INSERM U970, Paris, France
Service de Chirurgie Cardiaque et Vasculaire, Paris, France
Université Paris-Descartes, Paris, France
Service d’Imagerie Cardiovasculaire, Paris, France
Unité de Recherche en Développement, Imagerie et Anatomie, EA 4465, Université Paris 5, Paris, France
Palabras clave:Abdominal aorta; Endograft; Endovascular repair; Geometrical deformed model; Nellix device; Balloons; Computerized tomography; Deformation; Filled polymers; Polymers; Abdominal aorta; Abdominal aortic aneurysms; Balloon-expandable stents; Computed tomography images; Deformable surface models; Endograft; Endovascular repair; Nellix device; Blood vessels; abdominal aorta aneurysm; aneurysm sealing system; Article; clinical article; clinical effectiveness; computer assisted tomography; controlled study; endovascular aneurysm repair; human; mathematical computing; mathematical model; outcome assessment; priority journal; retrospective study; Aortic Aneurysm, Abdominal; biological model; devices; diagnostic imaging; endovascular surgery; pathophysiology; procedures; x-ray computed tomography; Aortic Aneurysm, Abdominal; Endovascular Procedures; Humans; Models, Cardiovascular; Tomography, X-Ray Computed
Año:2016
Volumen:44
Número:5
Página de inicio:1381
Página de fin:1391
DOI: http://dx.doi.org/10.1007/s10439-015-1446-9
Título revista:Annals of Biomedical Engineering
Título revista abreviado:Ann Biomed Eng
ISSN:00906964
CODEN:ABMEC
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00906964_v44_n5_p1381_Casciaro

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Citas:

---------- APA ----------
Casciaro, M.E., El-Batti, S., Chironi, G., Simon, A., Mousseaux, E., Armentano, R.L., Alsac, J.-M.,..., Craiem, D. (2016) . Deformable Surface Model for the Evaluation of Abdominal Aortic Aneurysms Treated with an Endovascular Sealing System. Annals of Biomedical Engineering, 44(5), 1381-1391.
http://dx.doi.org/10.1007/s10439-015-1446-9
---------- CHICAGO ----------
Casciaro, M.E., El-Batti, S., Chironi, G., Simon, A., Mousseaux, E., Armentano, R.L., et al. "Deformable Surface Model for the Evaluation of Abdominal Aortic Aneurysms Treated with an Endovascular Sealing System" . Annals of Biomedical Engineering 44, no. 5 (2016) : 1381-1391.
http://dx.doi.org/10.1007/s10439-015-1446-9
---------- MLA ----------
Casciaro, M.E., El-Batti, S., Chironi, G., Simon, A., Mousseaux, E., Armentano, R.L., et al. "Deformable Surface Model for the Evaluation of Abdominal Aortic Aneurysms Treated with an Endovascular Sealing System" . Annals of Biomedical Engineering, vol. 44, no. 5, 2016, pp. 1381-1391.
http://dx.doi.org/10.1007/s10439-015-1446-9
---------- VANCOUVER ----------
Casciaro, M.E., El-Batti, S., Chironi, G., Simon, A., Mousseaux, E., Armentano, R.L., et al. Deformable Surface Model for the Evaluation of Abdominal Aortic Aneurysms Treated with an Endovascular Sealing System. Ann Biomed Eng. 2016;44(5):1381-1391.
http://dx.doi.org/10.1007/s10439-015-1446-9