In Vivo Magnetic Resonance Histology of Peripheral Arterial Chronic Total Occlusions in Patients With Chronic Limb-Threatening Ischemia

Sinha, Kavya; Karmonik, Christof; Lumsden, Alan B.; Roy, Trisha

doi:10.1016/j.jvssci.2021.09.016

Cited by 2 publications

(7 citation statements)

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“…8 9 10 Figure 2 provides a comparison between CT angiography and MRI. 11 With more training and familiarity, vascular surgeons can augment their practice by using the full breadth of MRI techniques. Training also enables vascular surgeons to participate in the development of novel MRI methods similar to the impact that cardiologists had in developing cardiac MRI (CMR) techniques.…”

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

“…MRI with ultrashort echo time imaging shows a very thin rim of hypointensity around the central vessel, indicating that the calcium ring is thin and the lumen is occluded with mixed morphology plaque. 11 …”

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

“…Most vascular surgeons have some degree of familiarity with sizing an endograft using centerline software such as TeraRecon (TeraRecon Inc.) or syngo.via (Siemens Healthineers). 11 12 …”

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

“…This post-processing technique allows surgeons to select the optimal intercostal to enter the chest cavity and also provides information about the angles and locations of vital branch vessels that require individual bypass grafts or reimplantation ( Figure 4 ). 11 13 Though patient position affects the accuracy of the rendered images, surgeons nevertheless gain pertinent information to help plan open operations and optimize their approach.…”

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

“… Cinematic rendering helps plan the optimal incision and approach for open repair of type 4 thoracoabdominal aneurysm. 11 13 …”

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

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Imaging: New Frontiers in Vascular Training

Sinha

Berczeli

Lumsden

et al. 2022

Methodist DeBakey Cardiovascular Journal

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Advances in medical imaging have redefined the practice of vascular surgery. Current training programs for vascular surgery do not incorporate formal training in vascular imaging other than in duplex ultrasound when a physician is undergoing the vascular interpretation certification process. Yet imaging modalities and techniques have grown exponentially in the adjacent fields of interventional radiology, interventional and diagnostic cardiology, and neuroradiology, so much so that advanced imaging fellowships have been established in these fields. This article reviews the current state of vascular imaging training, identifies gaps in the current training regimen, and proposes an advanced vascular imaging fellowship for the future.

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Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

“…Most vascular surgeons have some degree of familiarity with sizing an endograft using centerline software such as TeraRecon (TeraRecon Inc.) or syngo.via (Siemens Healthineers). 11 12 …”

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

“… Cinematic rendering helps plan the optimal incision and approach for open repair of type 4 thoracoabdominal aneurysm. 11 13 …”

Section: Vascular Imaging Gaps In Knowledgementioning

confidence: 99%

See 3 more Smart Citations

Imaging: New Frontiers in Vascular Training

Sinha

Berczeli

Lumsden

et al. 2022

Methodist DeBakey Cardiovascular Journal

Self Cite

View full text Add to dashboard Cite

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Differences between Lower Extremity Arterial Occlusion vs. Stenosis and Predictors of Successful Endovascular Interventions

Kokkinidis,

Schizas,

Pargaonkar

et al. 2023

Medicina

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Background and Objectives: In patients with peripheral artery disease, there is insufficient understanding of characteristics that predict successful revascularization of the lower extremity (LE) chronic total occlusions (CTOs) and baseline differences in demographic, clinical, and angiographic characteristics in patients with LE CTO vs. non-CTO. We aim to explore these differences and predictors of successful revascularization among CTO patients. Materials and Methods: Two vascular centers enrolled LE-CTO patients who underwent endovascular revascularization. Data on demographics, clinical, angiographic, and interventional characteristics were collected. LE non-CTO arterial stenosis patients were compared. A total of 256 patients with LE revascularization procedures were studied; among them, 120 had CTOs and 136 had LE stenosis but no CTOs. Results: Aspirin use (Odds ratio, OR: 3.43; CI 1.32–8.88; p = 0.011) was a positive predictor whereas a history of malignancy (OR: 0.27; CI 0.09–0.80; p = 0.018) was a negative predictor of successful crossing in the CTO group. The CTO group had a higher history of myocardial infarction (29.2 vs. 18.3%, p = 0.05), end-stage renal disease (19.2 vs. 9.6%, p = 0.03), and chronic limb-threatening ischemia as the reason for revascularization (64.2 vs. 22.8%, p < 0.001). They were more likely to have advanced TransAtlantic Inter-Society Consensus (TASC) stages, multi-vessel revascularization procedures, longer lesions, and urgent treatment. Conclusions: The use of aspirin is a positive predictor whereas a history of malignancy is a negative predictor for successful crossing in CTO lesions. Additionally, LE-CTO patients have a higher incidence of comorbidities, which is expected given their higher disease burden. Successful endovascular re-vascularization can be associated with baseline clinical variables.

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In Vivo Magnetic Resonance Histology of Peripheral Arterial Chronic Total Occlusions in Patients With Chronic Limb-Threatening Ischemia

Cited by 2 publications

References 0 publications

Imaging: New Frontiers in Vascular Training

Imaging: New Frontiers in Vascular Training

Differences between Lower Extremity Arterial Occlusion vs. Stenosis and Predictors of Successful Endovascular Interventions

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