The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1258-1264 , May 2009

Prevalence of significant peripheral artery disease in patients evaluated for percutaneous aortic valve insertion: Preprocedural assessment with multidetector computed tomography

  • Vikram Kurra, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • Imaging Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Paul Schoenhagen, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • Imaging Institute, Cleveland Clinic, Cleveland, Ohio
    • Corresponding Author InformationAddress for reprints: Paul Schoenhagen, MD, Cleveland Clinic, Desk J 1-4, 9500 Euclid Ave, Cleveland, OH 44195.
    • ,
  • Eric E. Roselli, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Samir R. Kapadia, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • E. Murat Tuzcu, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Roy Greenberg, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Mateen Akhtar, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Milind Y. Desai, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • Imaging Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Scott D. Flamm, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • Imaging Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Sandra S. Halliburton, PhD

      Affiliations

    • Imaging Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Lars G. Svensson, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Srikanth Sola, MD

      Affiliations

    • Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio
    • Imaging Institute, Cleveland Clinic, Cleveland, Ohio

Received 10 October 2008 ,Revised 14 November 2008 ,Accepted 19 December 2008.

  • Image Result

    Normal infrarenal aortic and iliac anatomy. The angulation between the common and external iliac artery is illustrated.

    Normal infrarenal aortic and iliac anatomy. The angulation between the common and external iliac artery is illustrated.

  • Image Result

    Volume-rendered image (A), coronary (B), and axial (C) images of the aortic bifurcation. Volume-rendered image (D), coronary (E), and axial (F) images of the iliac bifurcation.

    Volume-rendered image (A), coronary (B), and axial (C) images of the aortic bifurcation. Volume-rendered image (D), coronary (E), and axial (F) images of the iliac bifurcation.

  • Image Result

    Severe atherosclerotic changes of the infrarenal abdominal aorta and iliac arteries. The left panel shows a volume rendered image. The middle panel shows a coronary multiplanar reconstruction (MPR). T

    Severe atherosclerotic changes of the infrarenal abdominal aorta and iliac arteries. The left panel shows a volume rendered image. The middle panel shows a coronary multiplanar reconstruction (MPR). The right sided panels show axial MPR images at the level of the infrarenal abdominal aorta, aortic and iliac bifurcation. CIA, Common iliac artery.

  • Image Result
    Volume-rendered images demonstrating a patient with steep and shallow angle between the common and external iliac arteries. CIA, Common iliac artery; EIA, external iliac artery.

    Volume-rendered images demonstrating a patient with steep and shallow angle between the common and external iliac arteries. CIA, Common iliac artery; EIA, external iliac artery.

 Dr Greenberg receives research support from Terarecon, Inc; Gore, Inc. and Cook, Inc. Dr Halliburton receives a research grant from Siemens Healthcare. Dr Desai and Dr Sola have received lecture fees from Philips Healthcare. Dr Roselli has received consulting fees from Medtronic. Dr Flamm has received consulting fees from Vital Images and receives research grants from Philips and Siemens Healthcare. Dr Svensson serves on the scientific advisory board for Edwards LifeSciences, Percutaneous Aortic Valve Clinical Trials, without any financial remuneration.

PII: S0022-5223(08)02250-2

doi: 10.1016/j.jtcvs.2008.12.013

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1258-1264 , May 2009

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