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Volume 13
Issue 3
10.3390/diagnostics13030496
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Article

Differences in Cardiac-Pulsatility-Induced Displacement and Geometry Changes between the Cook ZBIS and Gore IBE: Postoperative Comparison Using ECG-Gated CTA Scans

by
Jaimy A. Simmering
1,2,*,
Majorie van Helvert
2,3,
Joost A. van Herwaarden
4,
Cornelis H. Slump
5,
Robert H. Geelkerken
1,2 and
Michel M. P. J. Reijnen
2,3
1
Department of Surgery, Division of Vascular Surgery, Medisch Spectrum Twente, 7512 KZ Enschede, The Netherlands
2
Multi-Modality Medical Imaging (M3i) Group, Faculty of Science and Technology, Technical Medical Centre, University of Twente, 7522 NB Enschede, The Netherlands
3
Department of Surgery, Division of Vascular Surgery, Rijnstate Hospital, 6815 AD Arnhem, The Netherlands
4
Department of Vascular Surgery, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
5
Robotics and Mechatronics (RaM) Group, Faculty of Electrical Engineering, Mathematics and Computer Science, Technical Medical Centre, University of Twente, 7522 NB Enschede, The Netherlands
*
Author to whom correspondence should be addressed.
Diagnostics 2023, 13(3), 496; https://doi.org/10.3390/diagnostics13030496
Submission received: 14 January 2023 / Revised: 24 January 2023 / Accepted: 25 January 2023 / Published: 29 January 2023
(This article belongs to the Special Issue Innovative Diagnostic Imaging Techniques to Improve Outcomes in Complex Diseases)
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Abstract

To what extent the stentgraft design of iliac branch devices (IBDs) relates to dynamic deformation is currently unknown. Therefore, this study aimed to quantify and compare displacement and geometry changes during the cardiac cycle of two common IBDs. This paper presents a two-center trial with patients treated with a Zenith bifurcated iliac side (ZBIS) or Gore iliac branch endoprosthesis (IBE). All patients underwent a retrospective electrocardiogram (ECG)-gated computed tomographic angiography (CTA) during follow-up. Cardiac-pulsatility-induced displacement was quantified for the following locations: (neo) bifurcation of the aorta, IBD flow divider, distal markers of the internal iliac artery (IIA) component and first IIA bifurcation. Geometrical parameters (length, tortuosity index, curvature and torsion) were quantified over centerlines. Displacement was more pronounced for the IBE than the ZBIS, e.g., craniocaudal displacement of 0.91 mm (0.91–1.13 mm) vs. 0.57 mm (0.40–0.75 mm, p = 0.004), respectively. The IBDs demonstrated similar geometrical parameters in the neo-common iliac artery and distal IIA, except for the larger dynamic curvature and torsion of the distal IIA in IBEs. The IBEs showed more dynamic length and curvature change compared to the ZBIS in the stented IIA. The IIA trajectory showed more pronounced deformation during the cardiac cycle after placement of an IBE than a ZBIS, suggesting the IBE is more conformable than the ZBIS.
Keywords: IBD; ECG-gated CT; geometry; conformability; dynamic IBD; ECG-gated CT; geometry; conformability; dynamic

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MDPI and ACS Style

Simmering, J.A.; van Helvert, M.; van Herwaarden, J.A.; Slump, C.H.; Geelkerken, R.H.; Reijnen, M.M.P.J. Differences in Cardiac-Pulsatility-Induced Displacement and Geometry Changes between the Cook ZBIS and Gore IBE: Postoperative Comparison Using ECG-Gated CTA Scans. Diagnostics 2023, 13, 496. https://doi.org/10.3390/diagnostics13030496

AMA Style

Simmering JA, van Helvert M, van Herwaarden JA, Slump CH, Geelkerken RH, Reijnen MMPJ. Differences in Cardiac-Pulsatility-Induced Displacement and Geometry Changes between the Cook ZBIS and Gore IBE: Postoperative Comparison Using ECG-Gated CTA Scans. Diagnostics. 2023; 13(3):496. https://doi.org/10.3390/diagnostics13030496

Chicago/Turabian Style

Simmering, Jaimy A., Majorie van Helvert, Joost A. van Herwaarden, Cornelis H. Slump, Robert H. Geelkerken, and Michel M. P. J. Reijnen. 2023. "Differences in Cardiac-Pulsatility-Induced Displacement and Geometry Changes between the Cook ZBIS and Gore IBE: Postoperative Comparison Using ECG-Gated CTA Scans" Diagnostics 13, no. 3: 496. https://doi.org/10.3390/diagnostics13030496

APA Style

Simmering, J. A., van Helvert, M., van Herwaarden, J. A., Slump, C. H., Geelkerken, R. H., & Reijnen, M. M. P. J. (2023). Differences in Cardiac-Pulsatility-Induced Displacement and Geometry Changes between the Cook ZBIS and Gore IBE: Postoperative Comparison Using ECG-Gated CTA Scans. Diagnostics, 13(3), 496. https://doi.org/10.3390/diagnostics13030496

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