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胸主动脉瘤和腹主动脉瘤的血管内修复:术前和术后影像学检查

Endovascular repair of thoracic and abdominal aortic aneurysms: pre- and postprocedural imaging.

作者信息

Hellinger Jeffrey C

机构信息

Department of Radiology, Stanford University Medical Center, Stanford, CA 94305, USA.

出版信息

Tech Vasc Interv Radiol. 2005 Mar;8(1):2-15. doi: 10.1053/j.tvir.2005.05.001.

DOI:10.1053/j.tvir.2005.05.001
PMID:16098932
Abstract

Endovascular repair of thoracic and abdominal aortic aneurysms is a safe alternative to conventional open surgical repair. Clinical success, however, is highly dependent on patient selection. Diagnostic vascular imaging has an essential role for this selection process. Following endovascular aneurysm repair (EVAR), patients require long-term surveillance and again vascular imaging serves an integral function. This article reviews EVAR selection criteria and post-EVAR assessment and then discusses the imaging modalities used to evaluate these patients, namely multi-detector-row computed tomographic angiography, magnetic resonance imaging/angiography, duplex ultrasonography, and catheter angiography.

摘要

胸主动脉瘤和腹主动脉瘤的血管腔内修复术是传统开放手术修复的一种安全替代方法。然而,临床成功高度依赖于患者的选择。诊断性血管成像在这一选择过程中起着至关重要的作用。在血管腔内动脉瘤修复术(EVAR)后,患者需要长期监测,血管成像同样发挥着不可或缺的作用。本文回顾了EVAR的选择标准和EVAR后的评估,然后讨论了用于评估这些患者的成像方式,即多排探测器计算机断层血管造影、磁共振成像/血管造影、双功超声检查和导管血管造影。

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