Majewska Natalia, Juszkat Robert, Błaszak Magdalena, Frankiewicz Maciej, Makalowski Marcin, Stanisić Michał, Wachal Krzysztof, Majewski Wacław
Department of Radiology, K. Marcinkowski, Poznań University of Medical Sciences, Poznań, Poland.
Pol J Radiol. 2011 Oct;76(4):60-2.
This study is a case report regarding a possible problem of high radiation dose during stent-graft implantation. Before deciding on how to treat an aneurysm (stent grafting or traditional surgery), possible complications such as difficult anatomical conditions and diseases of the aorta and iliac arteries should be considered to avoid potentially high doses of radiation. In case of this patient, it was very difficult to introduce a guidewire through the contralateral limb into the body of the graft due to tortuosity and kinking of iliac arteries. Because of the long duration of the procedure (68 min), the patient was exposed to a very high radiation dose (4.37 Gy) and DAP (1760.3 Gy cm(2)).
本研究是一篇关于支架移植物植入过程中可能出现高辐射剂量问题的病例报告。在决定如何治疗动脉瘤（支架植入或传统手术）之前，应考虑诸如解剖条件困难以及主动脉和髂动脉疾病等可能的并发症，以避免潜在的高辐射剂量。对于该患者而言，由于髂动脉迂曲和扭结，很难通过对侧肢体将导丝引入移植物主体。由于手术时间长（68分钟），患者受到了非常高的辐射剂量（4.37戈瑞）和剂量面积乘积（1760.3戈瑞·平方厘米）。
