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Michel Nonent is Head of the Vascular Imaging Unit at the University of Brest, France. His main fields of interest are the development of multislice- computed tomography angiography (CTA) and magnetic resonance angiography (MRA). He also researches into the endovascular treatment of intracranial aneurysms and venous thrombo-embolic disease. He is currently coordinating a multicentre multidisciplinary trial to assess non-invasive imaging for the diagnosis of carotid stenosis. Dr Nonent is a member of the French Society of Radiology, the French Society of CardioVascular Imaging and the MRAngio Club. He is also a member of the Ethics Commitee of the University Hospital Centre of Brest.
Patient selection and imaging assessment for abdominal aortic aneurysm stent grafting

Michel Nonent*, Ali Badra** and Pierre Gouny**
*Department of Radiology and **Department of Vascular Surgery,
University Hospital Centre, Brest, France

Address for correspondence:
Michel Nonent, MD, Service de Radiologie,
Hôpital de la Cavale Blanche, CHU, Bd Tanguy Prigent,
29609 Brest cedex,
France
Tel: +33 (0)2 98 34 75 20
Fax: +33 (0)2 98 34 78 25
Email: michel.nonent@chu-brest.fr


Abstract
Endovascular repair using stent-grafts for abdominal aortic aneurysms (AAAs) is becoming increasingly employed worldwide. Imaging has great importance in the assessment of AAAs and in decision-making. Spiral-computed tomography (CT) is valuable in patient selection, morphologic assessment and follow-up. Recent improvements in technology (multislice CT) and in image processing (three-dimensional processing software, CT simulation before stent-grafting) allow an opportunity to replace X-ray angiography in the assessment of AAAs. Magnetic resonance imaging is becoming a favoured method, as it can be used without iodinated contrast agents; however, there are often limitations in the availability of equipment. Doppler ultrasound is the safest imaging method, but gives variable results and cannot be used alone. This
article provides information and recommendations about the use of imaging techniques before and after endovascular repair of AAAs.

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