Research summary, original research, 2015

A Novel Tool For Three-Dimensional Roadmapping Reduces Radiation Exposure And Contrast Agent Dose In Complex Endovascular Interventions

Stangenberg L, Shuja F, Carelsen B, Elenbaas T, Wyers MC, Schermerhorn ML. Journal of vascular surgery. 2015

Read the original paper

In plain language

In a small retrospective study of standard endovascular aneurysm repair (EVAR), 3D image fusion roadmapping was associated with about 40% lower air kerma, shorter fluoroscopy and procedure times, and less contrast. Staff dose was not measured directly.

At a glance

Type of study
Original research, Retrospective cohort study
Who was studied
Patients
Size
n = 32 patients (BMI-matched, 16 per group)
Summary based on
the abstract

What it found

  • Air kerma was lower with VesselNavigator 3D image fusion than with conventional imaging in EVAR.

    Key figures: 1067 ± 470.4 mGy vs 1768 ± 696.2 mGy; P = .004

  • Fluoroscopy time was shorter with image fusion.

    Key figures: 18.4 ± 6.8 minutes vs 26.8 ± 10.0 minutes; P = .01

  • Contrast agent dose was roughly halved with image fusion.

    Key figures: 37.4 ± 21.3 mL vs 77.3 ± 23.0 mL; P < .001

  • Procedure time was shorter with image fusion.

    Key figures: 80.4 ± 21.2 minutes vs 110.0 ± 29.1 minutes; P = .005

Limits to keep in mind

Small single-institution retrospective comparison of 16 body mass index (BMI)-matched patients per group, with possible learning-curve and selection bias. Only patient air kerma was measured; reduction in provider exposure is inferred, not measured.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.