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平板探测器血管造影CT在动脉瘤弹簧圈栓塞术中破裂处理中的应用

Flat panel detector angiographic CT in the management of aneurysmal rupture during coil embolization.

作者信息

Engelhorn T, Struffert T, Richter G, Doelken M, Ganslandt O, Kalender W, Doerfler A

机构信息

Department of Neuroradiology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.

出版信息

AJNR Am J Neuroradiol. 2008 Sep;29(8):1581-4. doi: 10.3174/ajnr.A1119. Epub 2008 May 22.

DOI:10.3174/ajnr.A1119
PMID:18499792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8119037/
Abstract

Angiographic CT (ACT) produces CT-like images within minutes in the angiography suite. We present the cases of 2 patients with intraprocedural aneurysmal rupture in which ACT enabled the neuroradiologist to rapidly assess the extent of bleeding during endovascular treatment. Additionally, ACT revealed pronounced rebleeding within the time between conventional CT and onset of treatment. In the management of aneurysmal rupture during coil embolization, ACT may be a valuable adjunct.

摘要

血管造影CT(ACT)在血管造影套件内几分钟内就能生成类似CT的图像。我们展示了2例术中动脉瘤破裂的病例,在这两例病例中,ACT使神经放射科医生能够在血管内治疗期间迅速评估出血范围。此外,ACT显示在常规CT检查至治疗开始这段时间内有明显的再出血。在弹簧圈栓塞治疗动脉瘤破裂的过程中,ACT可能是一种有价值的辅助手段。

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本文引用的文献

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2
International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion.颅内破裂动脉瘤的神经外科夹闭术与血管内栓塞术的国际蛛网膜下腔动脉瘤试验(ISAT):2143例患者的生存、依赖、癫痫发作、再出血、亚组及动脉瘤闭塞效果的随机对照研究
Lancet. 2005;366(9488):809-17. doi: 10.1016/S0140-6736(05)67214-5.
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[The use of flat-panel detectors for CT imaging].[平板探测器在CT成像中的应用]
Radiologe. 2003 May;43(5):379-87. doi: 10.1007/s00117-003-0897-4.
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Rupture of intracranial aneurysms during endovascular coiling: management and outcomes.血管内栓塞治疗期间颅内动脉瘤破裂:处理与结局
Neurosurgery. 2001 Oct;49(4):807-11; discussion 811-3. doi: 10.1097/00006123-200110000-00005.