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[计算机断层扫描血管造影术作为血管内动脉瘤修复(EVAR)前优化治疗计划的基础]

[Computed tomography angiography as the basis for optimized therapy planning before endovascular aneurysm repair (EVAR)].

作者信息

Strobl F F, Sommer W H, Haack M, Nikolaou K, Meimarakis G, Koeppel T A, Weidenhagen R

机构信息

Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universitä München, Campus Großhadern, München, Deutschland.

出版信息

Radiologe. 2013 Jun;53(6):495-502. doi: 10.1007/s00117-012-2450-9.

Abstract

Computed tomography angiography (CTA) of the aorta is an accepted standard diagnostic procedure for preoperative evaluation and planning of endovascular treatment of abdominal aortic aneurysms (endovascular aortic repair EVAR). The CTA method delivers all relevant anatomical and morphological information on the underlying pathology of the aorta and pelvic axes. Various software solutions are available for multiplanar reconstruction of the CT data for exact measurement of the access routes and landing zones and are essential components of individualized operation planning. The synthesis of all CT-based information allows a safe and exactly targeted release of the stent graft in the aorta. Furthermore, the periprocedural radiation dose can be reduced by a precise preoperative planning of the positions to be irradiated during implantation.

摘要

主动脉计算机断层血管造影(CTA)是腹主动脉瘤血管内治疗(血管内主动脉修复术,EVAR)术前评估和手术规划公认的标准诊断程序。CTA方法可提供有关主动脉和盆腔轴潜在病理的所有相关解剖学和形态学信息。有多种软件解决方案可用于对CT数据进行多平面重建,以精确测量入路和着陆区,它们是个体化手术规划的重要组成部分。综合所有基于CT的信息可实现主动脉内支架移植物的安全、精准释放。此外,通过精确术前规划植入过程中要照射的部位,可降低围手术期辐射剂量。

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