Virtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery?
Background/Aim. The best treatment for the occlusion of the largest artery in the thigh is a femorodistal (FD) bypass. Ankle-brachial index (ABI) and multidetector computed tomographic (MDCT) angiography are the gold standards for diagnosing peripheral arterial occlusive disease. The finite element...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2023-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300033S.pdf |
| _version_ | 1797393709121142784 |
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| author | Sekulić Dragan B. Tomić Aleksandar P. Dimić Andreja D. Mitrović Aleksandar C. Davidović Lazar B. Paunović Dragana S. Nikolić Dalibor D. Miladinović Uroš M. Sekulić Igor M. Rančić Nemanja K. Šarac Momir M. Marjanović Ivan R. Leković Ivan R. Milev Boško I. |
| author_facet | Sekulić Dragan B. Tomić Aleksandar P. Dimić Andreja D. Mitrović Aleksandar C. Davidović Lazar B. Paunović Dragana S. Nikolić Dalibor D. Miladinović Uroš M. Sekulić Igor M. Rančić Nemanja K. Šarac Momir M. Marjanović Ivan R. Leković Ivan R. Milev Boško I. |
| author_sort | Sekulić Dragan B. |
| collection | DOAJ |
| description | Background/Aim. The best treatment for the occlusion of the largest artery in the thigh is a femorodistal (FD) bypass. Ankle-brachial index (ABI) and multidetector computed tomographic (MDCT) angiography are the gold standards for diagnosing peripheral arterial occlusive disease. The finite element analysis (FEA) method can help measure the quantity of blood flow and arterial pressure in the arteries in the leg. The aim of this study was to examine the possibility of using the FEA method in predicting the outcome of FD bypass surgery. Methods. The study involved 45 patients indicated for FD arterial reconstruction from December 1, 2021, to March 31, 2023. Each patient underwent pre- and postoperative MDCT angiography of the arteries of the lower extremities, on the basis of which, with the use of FEA, models were made for measuring ABI. All patients had their ABI measured pre-operatively and postoperatively using the Doppler ultrasound and sphygmomanometer. Based on the findings of the preoperative MDCT angiography, postoperative virtual surgical models were created using the FEA method, on which ABI were also measured. The values of ABI were divided into five groups: ABI measured preoperatively (ABI pre-op), ABI measured postoperatively (ABI post-op), ABI measured on FEA models based on the MDCT findings [ABI (sim) pre-op], ABI sim post-op, and ABI measured on virtual surgery model [ABI sim post-op (virtual)]. The ABI of the models were statistically compared with preoperative and postoperative measurements done on patients. Results. The values based on the virtual ABI model did not show significant differences compared to the values obtained on patients and values obtained with the FEA method using MDCT angiography (p < 0.001). A strong statistically significant correlation was shown between the virtual ABI and the values obtained by the other two methods, measured on the postoperative MDCT angiography model and virtual postoperative model (p < 0.001). Conclusion. Virtual simulation based on the MDCT angiography parameters of peripheral blood vessels can be successfully used to predict the immediate outcome of the FD bypass surgery. |
| first_indexed | 2024-03-09T00:07:45Z |
| format | Article |
| id | doaj.art-fadc3635a3f3442e8d1d07821adccdad |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-03-09T00:07:45Z |
| publishDate | 2023-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-fadc3635a3f3442e8d1d07821adccdad2023-12-12T13:09:36ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202023-01-01801083684210.2298/VSP230516033S0042-84502300033SVirtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery?Sekulić Dragan B.0Tomić Aleksandar P.1Dimić Andreja D.2Mitrović Aleksandar C.3Davidović Lazar B.4Paunović Dragana S.5Nikolić Dalibor D.6Miladinović Uroš M.7Sekulić Igor M.8Rančić Nemanja K.9Šarac Momir M.10Marjanović Ivan R.11Leković Ivan R.12Milev Boško I.13Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, SerbiaMilitary Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia University Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia University Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade, SerbiaUniversity Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, SerbiaUniversity of Kragujevac, Faculty of Engineering Sciences, Kragujevac, SerbiaMilitary Medical Academy, Institute for Radiology, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Institute for Radiology, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Institute for Radiology, Belgrade, Serbia + Military Medical Academy, Center for Clinical Pharmacology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for General Surgery, Belgrade, SerbiaBackground/Aim. The best treatment for the occlusion of the largest artery in the thigh is a femorodistal (FD) bypass. Ankle-brachial index (ABI) and multidetector computed tomographic (MDCT) angiography are the gold standards for diagnosing peripheral arterial occlusive disease. The finite element analysis (FEA) method can help measure the quantity of blood flow and arterial pressure in the arteries in the leg. The aim of this study was to examine the possibility of using the FEA method in predicting the outcome of FD bypass surgery. Methods. The study involved 45 patients indicated for FD arterial reconstruction from December 1, 2021, to March 31, 2023. Each patient underwent pre- and postoperative MDCT angiography of the arteries of the lower extremities, on the basis of which, with the use of FEA, models were made for measuring ABI. All patients had their ABI measured pre-operatively and postoperatively using the Doppler ultrasound and sphygmomanometer. Based on the findings of the preoperative MDCT angiography, postoperative virtual surgical models were created using the FEA method, on which ABI were also measured. The values of ABI were divided into five groups: ABI measured preoperatively (ABI pre-op), ABI measured postoperatively (ABI post-op), ABI measured on FEA models based on the MDCT findings [ABI (sim) pre-op], ABI sim post-op, and ABI measured on virtual surgery model [ABI sim post-op (virtual)]. The ABI of the models were statistically compared with preoperative and postoperative measurements done on patients. Results. The values based on the virtual ABI model did not show significant differences compared to the values obtained on patients and values obtained with the FEA method using MDCT angiography (p < 0.001). A strong statistically significant correlation was shown between the virtual ABI and the values obtained by the other two methods, measured on the postoperative MDCT angiography model and virtual postoperative model (p < 0.001). Conclusion. Virtual simulation based on the MDCT angiography parameters of peripheral blood vessels can be successfully used to predict the immediate outcome of the FD bypass surgery.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300033S.pdfarterial occlusive diseasesankle brachial indexcomputed tomography angiographyfinite element analysisimage interpretation, computer-assistedlegprognosisultrasonography |
| spellingShingle | Sekulić Dragan B. Tomić Aleksandar P. Dimić Andreja D. Mitrović Aleksandar C. Davidović Lazar B. Paunović Dragana S. Nikolić Dalibor D. Miladinović Uroš M. Sekulić Igor M. Rančić Nemanja K. Šarac Momir M. Marjanović Ivan R. Leković Ivan R. Milev Boško I. Virtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery? Vojnosanitetski Pregled arterial occlusive diseases ankle brachial index computed tomography angiography finite element analysis image interpretation, computer-assisted leg prognosis ultrasonography |
| title | Virtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery? |
| title_full | Virtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery? |
| title_fullStr | Virtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery? |
| title_full_unstemmed | Virtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery? |
| title_short | Virtual ankle-brachial index - Can we predict the immediate outcome of femorodistal bypass surgery? |
| title_sort | virtual ankle brachial index can we predict the immediate outcome of femorodistal bypass surgery |
| topic | arterial occlusive diseases ankle brachial index computed tomography angiography finite element analysis image interpretation, computer-assisted leg prognosis ultrasonography |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300033S.pdf |
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