Cone-Beam CT-assisted navigation for endovascular treatment of erection-related artery stenosis in patients with erectile dysfunction.

Arteriogenic Cone-beam CT ED Erectile dysfunction Internal pudendal artery Revascularization Vasogenic

Journal

CVIR endovascular
ISSN: 2520-8934
Titre abrégé: CVIR Endovasc
Pays: Switzerland
ID NLM: 101738484

Informations de publication

Date de publication:
18 Aug 2022
Historique:
received: 06 03 2022
accepted: 08 08 2022
entrez: 18 8 2022
pubmed: 19 8 2022
medline: 19 8 2022
Statut: epublish

Résumé

Angioplasty and stenting have emerged as endovascular treatment options for arteriogenic erectile dysfunction over the past few years. Considerable anatomical variation of the erection related pelvic arteries can be challenging during these procedures, leading to time-consuming repetitive super-selective angiograms for navigation. We report a novel technique of using C-arm Cone-Beam CT and vessel navigation software to facilitate super-selective catheterization. Cone-Beam CT-guided navigation for vascular assessment of arteriogenic ED is an optional approach compared to exclusive angiographic assessment. Compared to CT angiography, C-arm Cone-Beam CT offers benefits regarding usage of contrast media and radiation exposure. It has the advantage to combine imaging with endovascular procedures in a single session, reduces time to target navigation in complex pelvic arteries anatomy and may increase therapy safety in endovascular treatment of ED.

Sections du résumé

BACKGROUND BACKGROUND
Angioplasty and stenting have emerged as endovascular treatment options for arteriogenic erectile dysfunction over the past few years. Considerable anatomical variation of the erection related pelvic arteries can be challenging during these procedures, leading to time-consuming repetitive super-selective angiograms for navigation.
TECHNIQUE METHODS
We report a novel technique of using C-arm Cone-Beam CT and vessel navigation software to facilitate super-selective catheterization.
CONCLUSION CONCLUSIONS
Cone-Beam CT-guided navigation for vascular assessment of arteriogenic ED is an optional approach compared to exclusive angiographic assessment. Compared to CT angiography, C-arm Cone-Beam CT offers benefits regarding usage of contrast media and radiation exposure. It has the advantage to combine imaging with endovascular procedures in a single session, reduces time to target navigation in complex pelvic arteries anatomy and may increase therapy safety in endovascular treatment of ED.

Identifiants

pubmed: 35982199
doi: 10.1186/s42155-022-00319-w
pii: 10.1186/s42155-022-00319-w
pmc: PMC9388707
doi:

Types de publication

Journal Article

Langues

eng

Pagination

41

Informations de copyright

© 2022. The Author(s).

Références

J Endovasc Ther. 2018 Dec;25(6):710-715
pubmed: 30343612
J Am Coll Cardiol. 2012 Dec 25;60(25):2618-27
pubmed: 23177300
J Endovasc Ther. 2018 Dec;25(6):716-718
pubmed: 30343618
Jpn J Radiol. 2014 Jul;32(7):375-82
pubmed: 24760203
EuroIntervention. 2014 May;10(1):147-56
pubmed: 24832642
J Am Coll Cardiol. 2012 Dec 25;60(25):2628-30
pubmed: 23177299
Br J Radiol. 2018 Jul;91(1088):20170562
pubmed: 29848014
J Endovasc Ther. 2016 Dec;23(6):867-877
pubmed: 27629440
Radiographics. 2020 Jan-Feb;40(1):153-162
pubmed: 31809230
J Endovasc Ther. 2019 Apr;26(2):181-190
pubmed: 30741067
Radiol Med. 2014 Jul;119(7):521-32
pubmed: 25012472
BJU Int. 2008 Mar;101(5):581-7
pubmed: 18005213
Vasc Med. 2018 Apr;23(2):143-152
pubmed: 29633922
Radiology. 2015 Feb;274(2):320-34
pubmed: 25625741

Auteurs

Alexander Rosenov (A)

Division of Angiology, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. alexander.rosenov@insel.ch.

Nando Mertineit (N)

Department of Radiology, Buergerspital Solothurn, Solothurn, Switzerland.

Iris Baumgartner (I)

Division of Angiology, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Marc Schindewolf (M)

Division of Angiology, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Classifications MeSH