Drees Randi, Frydrychowicz Alex, Reeder Scott B, Pinkerton Marie E, Johnson Rebecca
Department of Surgical Sciences, University of Wisconsin-Madison, Madison, WI 53706, USA.
Vet Radiol Ultrasound. 2011 Sep-Oct;52(5):507-15. doi: 10.1111/j.1740-8261.2011.01826.x. Epub 2011 Apr 26.
Canine coronary artery angiography (CTA) was performed in four anesthetized healthy dogs using 64-multidetector computed tomography. Esmolol, a β-1 adrenergic receptor antagonist, and sodium nitroprusside, an arteriolar and venous dilator, were administered to enhance visualization of the coronary arteries by reducing heart rate and creating vasodilation. The left main coronary artery with its three main branches and the right coronary artery were visualized and subdivided in 13 segments for evaluation. Optimal reconstruction interval, expressed as percentage of the R-to-R interval, was determined at 5% in 2.9%, 35% in 1%, 75% in 21.2%, 85% in 43.3%, and 95% in 31.7% of the segments. Overall image quality was good in 41.3% of the segments and excellent in 14.4%. There was blur in 98.1%, motion in 17.3%, and stair step in 6.7% of the evaluated segments, but these artifacts did not interfere with anatomic depiction of the arteries. Cross-sectional anatomy of the coronary arteries as evaluated from the coronary CTA agreed well with gross anatomic evaluation and published information. The use of esmolol did not lead to the target heart rate of 60-65 beats/min. Nitroprusside had no significant effect on visualized length or diameter of the coronary artery branches. Coronary CTA is useful for the anatomic depiction of coronary artery branches in the dog.
使用64排计算机断层扫描对4只麻醉后的健康犬进行了犬冠状动脉血管造影(CTA)。给予艾司洛尔(一种β-1肾上腺素能受体拮抗剂)和硝普钠(一种小动脉和静脉扩张剂),通过降低心率和引起血管扩张来增强冠状动脉的可视化。左冠状动脉及其三个主要分支和右冠状动脉得以显影,并细分为13个节段进行评估。以R-R间期百分比表示的最佳重建间隔,在2.9%的节段中确定为5%,在1%的节段中为35%,在21.2%的节段中为75%,在43.3%的节段中为85%,在31.7%的节段中为95%。41.3%的节段整体图像质量良好,14.4%的节段图像质量优异。在98.1%的评估节段中存在模糊,17.3%的节段存在运动伪影,6.7%的节段存在阶梯状伪影,但这些伪影并未干扰动脉的解剖学描绘。从冠状动脉CTA评估的冠状动脉横断面解剖结构与大体解剖评估及已发表的信息高度一致。使用艾司洛尔未达到60 - 65次/分钟的目标心率。硝普钠对冠状动脉分支的显影长度或直径没有显著影响。冠状动脉CTA有助于犬冠状动脉分支的解剖学描绘。