急性破裂颈内动脉动脉瘤尺寸的放射学测量：计算机断层血管造影与数字减影血管造影的对比研究
Radiological measurements of dimensions of acutely ruptured internal carotid artery aneurysm: a comparative study between computed tomographic angiography and digital subtraction angiography.
作者信息
Wong George K C, Yu Simon C H, Poon Wai Sang
机构信息
Division of Neurosurgery;
Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Chinese University of Hong Kong, China.
出版信息
Clin Pract. 2012 Jul 31;2(3):e75. doi: 10.4081/cp.2012.e75. eCollection 2012 May 29.
After aneurysmal subarachnoid hemorrhage, most center practices treatment modality selection based on size and geometry in computed tomographic angiography. However, the validity as compared to digital subtraction angiography (DSA) is not well studied. Twenty patients with ruptured internal carotid artery aneurysm were identified in a two-year period. Mean difference in measurements from 3D computed tomographic angiography (3D-CTA) and 3D-DSA were less than 1 mm and 3D-DSA measurement did not alter the decision to proceed for endovascular embolization. With modern multislice computed tomography technology, good quality 3D-CTA alone would be sufficient to make size and geometry assessment for treatment selection for patients with ruptured internal carotid artery aneurysm.
在动脉瘤性蛛网膜下腔出血后，大多数中心根据计算机断层血管造影的大小和形态来选择治疗方式。然而，与数字减影血管造影（DSA）相比，其有效性尚未得到充分研究。在两年时间里，确定了20例颈内动脉动脉瘤破裂患者。三维计算机断层血管造影（3D-CTA）和三维数字减影血管造影（3D-DSA）测量的平均差异小于1毫米，且3D-DSA测量并未改变进行血管内栓塞治疗的决策。借助现代多层计算机断层扫描技术，仅高质量的3D-CTA就足以对颈内动脉动脉瘤破裂患者进行治疗选择时的大小和形态评估。
Zotero 插件