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256层MDCT冠状动脉搭桥成像:手术概念、当前技术及解读

Coronary artery bypass graft imaging with 256-slice MDCT: surgical concepts, current techniques, and interpretation.

作者信息

Rau Noémie H, Rau Philipp, Chin Anne S, Provost Yves, Stevens Louis-Mathieu, Noiseux Nicolas, Chartrand-Lefebvre Carl

机构信息

CHUM Radiology department.

CHUM Cardiac Surgery Service; CHUM Research Center.

出版信息

Clin Imaging. 2014 Sep-Oct;38(5):571-9. doi: 10.1016/j.clinimag.2014.04.009. Epub 2014 May 9.

DOI:10.1016/j.clinimag.2014.04.009
PMID:24976306
Abstract

Multidetector computed tomography (MDCT) scanners with current equipment allow for a rapid and robust noninvasive assessment of coronary artery bypass graft (CABG) anatomy and patency. With both appropriate expertise in MDCT techniques and knowledge in CABG imaging interpretation, radiologists should play an important and active role in the postoperative care of patients with bypass grafts. In this pictorial essay, we review the MDCT techniques and anatomy relevant to CABG imaging, interpretation pitfalls, some basic and advanced surgical designs, as well as postoperative graft complications in patients with CABG, with clinical illustrations from our local experience.

摘要

目前的设备所配备的多排螺旋计算机断层扫描(MDCT)扫描仪能够对冠状动脉旁路移植术(CABG)的解剖结构和通畅情况进行快速且可靠的无创评估。凭借MDCT技术方面的专业知识以及CABG影像解读方面的知识,放射科医生应在接受旁路移植术患者的术后护理中发挥重要且积极的作用。在这篇图谱文章中,我们回顾了与CABG影像相关的MDCT技术和解剖结构、解读陷阱、一些基本和先进的手术设计,以及CABG患者的术后移植并发症,并结合我们当地的临床经验进行说明。

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引用本文的文献

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Diagnostic accuracy and effective radiation dose of high pitch dual source multidetector computed tomography in evaluation of coronary artery bypass graft patency.高螺距双源多排螺旋计算机断层扫描在评估冠状动脉搭桥术血管通畅性中的诊断准确性及有效辐射剂量
Wien Klin Wochenschr. 2016 Jul;128(13-14):488-94. doi: 10.1007/s00508-016-1030-9. Epub 2016 Jun 24.