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多层螺旋CT与冠状动脉旁路移植术

Multidetector CT and coronary artery bypass grafts.

作者信息

Crusco F, Antoniella A, Papa V, Di Lazzaro D, Ragni T, Giovagnoni A

机构信息

Dipartimento Diagnostica per Immagini, AUSL 3 Umbria, Ospedale S. Giovanni Battista, Foligno, Italy.

出版信息

Radiol Med. 2007 Dec;112(8):1087-99. doi: 10.1007/s11547-007-0208-7. Epub 2007 Dec 13.

Abstract

The aim of this review is to provide--starting from anatomical, surgical and pathophysiological data--elements for evaluating the status of coronary artery bypass grafts with multidetector computed tomography (CT), taking into consideration the most common conduits used (left and right internal mammary arteries, saphenous vein, radial artery, gastroepiploic artery) and early and late complications (stenosis or obstruction, vasospasm, aneurysms and pseudoaneurysms, malposition). Some of the major problems regarding the examination technique and image analysis are also discussed. Finally, we offer general guidelines for reporting the examination results.

摘要

本综述的目的是从解剖学、手术学和病理生理学数据出发,提供评估冠状动脉旁路移植术使用多排螺旋计算机断层扫描(CT)的状况的要素,同时考虑到最常用的血管(左、右乳内动脉、大隐静脉、桡动脉、胃网膜动脉)以及早期和晚期并发症(狭窄或阻塞、血管痉挛、动脉瘤和假性动脉瘤、位置异常)。还讨论了有关检查技术和图像分析的一些主要问题。最后,我们提供了报告检查结果的一般指南。

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