Compliance of abdominal aortic aneurysms: Evaluation of tissue Doppler imaging

Abstract

Expansion of abdominal aortic aneurysms (AAA) is due to remodeling of the parietal extra-cellular matrix and may lead to rupture. This remodeling is reflected by compliance which may be an indicator of AAA behavior and thus useful for clinicians. Tissue Doppler Imaging (TDI) is an ultrasonographic modality which allows wall motion measurements along an arterial segment. It has previously been evaluated in normal aortas and was then evaluated in thirty-five patients with AAA. Mean values (±standard deviation) characterizing maximum diameter AAA compliance were dilation 809 μm (±465), strain 2.2% (±1), pressure strain elastic modulus 3.94 10 5 Pa [3.25; 4.8] and stiffness 28.8 [24; 34.5], last values being expressed as geometric mean [interquartile range]. They were in accordance with those previously obtained with other systems. Segmental parameter values were maximum mean segmental dilation 534 μm (±305) and segmental compliance 14.6 (±8.3) 10 −2 μm/Pa. Reproducibility was appropriate for clinical studies. The TDI system is simple and reliable for measurement of AAA compliance, and compliance can easily be recorded during routine ultrasound control. (E-mail: along@chu-reims.fr)