Application of Color-coded Quantitative Digital Subtraction Angiography in Evaluation of Prognosis After Endovascular Repairment of Abdominal Aortic Aneurysm
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 49
- 试验地点
- 1
- 主要终点
- ROI AUC/Ref AUC
研究概览
简要总结
Re-hospitalization or re-intervention is sometimes necessary to treat type I and type III endoleaks after EVAR for its persistent increasing of pressure in aneurysm lumen. Color-coded quantitative digital subtraction angiography (CQDSA) provides an easy and quick way to post-process the traditional digital subtraction angiography (DSA) which converts the peak time of the maximal contrast medium intensity into a single polychromatic image. With the help of CQDSA, a quantitative evaluation of the endoleak hemodynamics and a risk analysis of the type I or type III endoleak could be performed during the EVAR procedure. This approach may offer an objective assessment of the needs for immediate re-intervention, conservative therapy or treatment endpoint in the future.
详细描述
Intra-procedural DSA series are transferred to a research workstation to generate the color-coded images and make quantitative measurements. Region of interest (ROI) measurements are performed equivalently in the endoleak and the aorta after the image generation. There are three kinds of ROIs including a small circle area with the shortest time to peak, a circle area with peak contrast intensity and the whole endoleak area. The ROI and a reference at the same latitude within the aorta are selected to undergo measurement which reflected the endoleak hemodynamics of the endoleak to the utmost extent.
The following parameters will be acquired through the CQDSA for analysis.
- Time-versus-ROI contrast intensity graph. The graph contains one endoleak ROI flow curve and one reference aortic flow curve (Ref). The x-axis shows time from 0 second to the maximum frame time of the image. The y-axis shows the sum of pixel intensities, namely total contrast, representing the contrast concentration within the ROI.
- ROI Peak/Ref Peak. It is the ratio of intensity peak between the endoleak and the reference in the aorta.
- ROI TTP (Time to peak). Peak time of ROI in the vicinity of endoleak entry.
- ROI AUC/Ref AUC. Area under curve (AUC) is calculated through Time-versus-ROI contrast intensity graph. The parameter here is the ratio of ROI AUC in endoleak to the reference.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who present type I or/and type III endoleak after EVAR for AAA and complete at least 3 months' follow up.
排除标准
- •Patients who
- •undergo surgeries which involve the segment covered by EVAR;
- •present connective tissue disease, such as Marfan's Syndrome or vasculitis.
- •present abdominal aortic dissection.
- •present AAA rupture.
- •die from non aneurysm-reltated reasons or are lost during follow up.
结局指标
主要结局
ROI AUC/Ref AUC
时间窗: 15 seconds
Area under curve (AUC) is calculated through Time-versus-ROI contrast intensity graph. The parameter here is the ratio of ROI AUC in endoleak to the reference.
ROI Peak/Ref Peak
时间窗: 15 seconds
It is the ratio of intensity peak between the endoleak and the reference in the aorta.
Time-versus-ROI contrast intensity graph.
时间窗: 15 seconds
The graph contains one endoleak ROI flow curve and one reference aortic flow curve (Ref). The x-axis shows time from 0 second to the maximum frame time of the image. The y-axis shows the sum of pixel intensities, namely total contrast, representing the contrast concentration within the ROI.
ROI TTP (Time to peak)
时间窗: 15 seconds
Peak time of ROI in the vicinity of endoleak entry
次要结局
未报告次要终点
研究者
Zhenyu Shi
Associate Prof.
Shanghai Zhongshan Hospital