Journal of Vascular Surgery
Volume 45, Issue 2 , Pages 263-268 , February 2007

Intraobserver and interobserver variability of 64-row computed tomography abdominal aortic aneurysm neck measurements

  • Nicolas Diehm, MD

      Affiliations

    • Division of Clinical and Interventional Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland
  • ,
  • Ralph Kickuth, MD

      Affiliations

    • Institute of Diagnostic and Interventional Radiology, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland
  • ,
  • Brigitta Gahl, MSc

      Affiliations

    • Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland.
  • ,
  • Dai-Do Do, MD

      Affiliations

    • Division of Clinical and Interventional Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland
  • ,
  • Jürg Schmidli, MD

      Affiliations

    • Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland.
  • ,
  • Henning Rattunde, MD

      Affiliations

    • Institute of Diagnostic and Interventional Radiology, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland
  • ,
  • Iris Baumgartner, MD

      Affiliations

    • Division of Clinical and Interventional Angiology, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland
  • ,
  • Florian Dick, MD

      Affiliations

    • Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Bern, Switzerland.
    • Corresponding Author InformationReprint requests: Florian Dick, MD, Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, University Hospital of Bern, Freiburgstrasse, 3010 Bern, Switzerland.

Received 2 September 2006 ,Accepted 4 October 2006.

References 

  1. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004;364:843–848
  2. Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–1618
  3. Le Bas JF. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet. 2005;365:2179–2186
  4. Blankensteijn JD, de Jong SE, Prinssen M, van der Ham AC, Buth J, van Sterkenburg SM, et al. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2005;352:2398–2405
  5. Lipski DA, Ernst CB. Natural history of the residual infrarenal aorta after infrarenal abdominal aortic aneurysm repair. J Vasc Surg. 1998;27:805–811
  6. Cao P, Verzini F, Parlani G, Rango PD, Parente B, Giordano G, et al. Predictive factors and clinical consequences of proximal aortic neck dilatation in 230 patients undergoing abdominal aorta aneurysm repair with self-expandable stent-grafts. J Vasc Surg. 2003;37:1200–1205
  7. Prinssen M, Wever JJ, Mali WP, Eikelboom BC, Blankensteijn JD. Concerns for the durability of the proximal abdominal aortic aneurysm endograft fixation from a 2-year and 3-year longitudinal computed tomography angiography study. J Vasc Surg. 2001;33(2 Suppl):S64–S69
  8. Badran MF, Gould DA, Raza I, McWilliams RG, Brown O, Harris PL, et al. Aneurysm neck diameter after endovascular repair of abdominal aortic aneurysms. J Vasc Interv Radiol. 2002;13(9 Pt 1):887–892
  9. Yoshimura K, Aoki H, Ikeda Y, Fujii K, Akiyama N, Furutani A, et al. Regression of abdominal aortic aneurysm by inhibition of c-Jun N-terminal kinase. Nat Med. 2005;11:1330–1338
  10. Daugherty A, Manning MW, Cassis LA. Angiotensin II promotes atherosclerotic lesions and aneurysms in apolipoprotein E-deficient mice. J Clin Invest. 2000;105:1605–1612
  11. da Cunha V, Tham DM, Martin-McNulty B, Deng G, Ho JJ, Wilson DW, et al. Enalapril attenuates angiotensin II-induced atherosclerosis and vascular inflammation. Atherosclerosis. 2005;178:9–17
  12. Liao S, Miralles M, Kelley BJ, Curci JA, Borhani M, Thompson RW. Suppression of experimental abdominal aortic aneurysms in the rat by treatment with angiotensin-converting enzyme inhibitors. J Vasc Surg. 2001;33:1057–1064
  13. Diehm N, Schmidli J, Dai-Do D, Baumgartner I. Current evidence and prospects for medical treatment of abdominal aortic aneurysms. Vasa. 2005;34:217–223
  14. Hackam DG, Thiruchelvam D, Redelmeier DA. Angiotensin-converting enzyme inhibitors and aortic rupture: a population-based case-control study. Lancet. 2006;368:659–665
  15. Diehm N, Baumgartner I. ACE inhibitors and abdominal aortic aneurysm. Lancet. 2006;368:622–623
  16. Singh K, Jacobsen BK, Solberg S, Bonaa KH, Kumar S, Bajic R, et al. Intra- and interobserver variability in the measurements of abdominal aortic and common iliac artery diameter with computed tomography (The Tromso study). Eur J Vasc Endovasc Surg. 2003;25:399–407
  17. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, et al. Abdominal Aortic Aneurysm Detection and Management Veterans Administration Cooperative Study Group Variability in measurement of abdominal aortic aneurysms. J Vasc Surg. 1995;21:945–952
  18. Kritpracha B, Beebe HG, Comerota AJ. Aortic diameter is an insensitive measurement of early aneurysm expansion after endografting. J Endovasc Ther. 2004;11:184–190
  19. Wever JJ, Blankensteijn JD, Mali TMWP, Eikelboom BC. Maximal aneurysm diameter follow-up is inadequate after endovascular abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2000;20:177–182
  20. Bargellini I, Cioni R, Petruzzi P, Pratali A, Napoli V, Vignali C, et al. Endovascular repair of abdominal aortic aneurysms: analysis of aneurysm volumetric changes at mid-term follow-up. Cardiovasc Intervent Radiol. 2005;28:426–433
  21. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical management. Lancet. 1986;8:307–310
  22. Wormanns D, Kohl G, Klotz E, Marheine A, Beyer F, Heindel W, et al. Volumetric measurements of pulmonary nodules at multi-row detector CT: in vivo reproducibility. Eur Radiol. 2004;14:86–92
  23. Cayne N, Veith F, Lipsitz E, Ohki T, Mehta M, Gargiulo N, et al. Variability of maximal aortic aneurysm diameter measurements on CT scan: significance and methods to minimize. J Vasc Surg. 2004;39:811–815
  24. Aarts NJM, Schurink GWH, Schultze Kool LJ, Bode PJ, van Baalen JM, Hermans J, et al. Abdominal aortic aneurysm measurements for endovascular repair: intra- and interobserver variability of CT measurements. Eur J Vasc Endovasc Surg. 1999;18:475–480
  25. Diehm N, Baumgartner I, Silvestro A, Herrmann P, Triller J, Schmidli J, et al. Automated software supported versus manual aorto-iliac diameter measurements in CT angiography of patients with abdominal aortic aneurysms: assessment of inter- and intraobserver variation. Vasa. 2005;34:255–261

 Competition of interest: none.

PII: S0741-5214(06)01848-9

doi: 10.1016/j.jvs.2006.10.004

Journal of Vascular Surgery
Volume 45, Issue 2 , Pages 263-268 , February 2007