Pros and Cons of 3D Image Fusion in Endovascular Aortic Repair: A Systematic Review and Meta-analysis

Seline R. Goudeketting*, Stefan G. H. Heinen, Cagdas Unlu, Daniel A. F. van den Heuvel, Jean-Paul P. M. de Vries, Marco J. van Strijen, Anna M. Sailer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

31 Citations (Web of Science)

Abstract

Purpose: To systematically review and meta-analyze the added value of 3-dimensional (3D) image fusion technology in endovascular aortic repair for its potential to reduce contrast media volume, radiation dose, procedure time, and fluoroscopy time. Methods: Electronic databases were systematically searched for studies published between January 2010 and March 2016 that included a control group describing 3D fusion imaging in endovascular aortic procedures. Two independent reviewers assessed the methodological quality of the included studies and extracted data on iodinated contrast volume, radiation dose, procedure time, and fluoroscopy time. The contrast use for standard and complex endovascular aortic repairs (fenestrated, branched, and chimney) were pooled using a random-effects model; outcomes are reported as the mean difference with 95% confidence intervals (CIs). Results: Seven studies, 5 retrospective and 2 prospective, involving 921 patients were selected for analysis. The methodological quality of the studies was moderate (median 17, range 15-18). The use of fusion imaging led to an estimated mean reduction in iodinated contrast of 40.1 mL (95% CI 16.4 to 63.7, p=0.002) for standard procedures and a mean 70.7 mL (95% CI 44.8 to 96.6, p

Original languageEnglish
Pages (from-to)595-603
Number of pages9
JournalJournal of Endovascular Therapy
Volume24
Issue number4
DOIs
Publication statusPublished - Aug 2017

Keywords

  • 3D imaging
  • computed tomography angiography
  • cone-beam computed tomography
  • contrast media
  • endovascular aneurysm repair
  • fluoroscopy
  • fusion imaging
  • meta-analysis
  • radiation dose
  • systematic review
  • thoracic endovascular aortic repair
  • ANEURYSM REPAIR
  • RADIATION-EXPOSURE
  • INDUCED NEPHROPATHY
  • CONTRAST AGENT
  • MR-ANGIOGRAPHY
  • TECHNICAL NOTE
  • HYBRID ROOMS
  • FEASIBILITY
  • GUIDANCE
  • FLUOROSCOPY

Cite this