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基于多排螺旋计算机断层扫描的冠状动脉旁路移植血管功能障碍的形态计量学三维模型。

A morphometric 3D model of coronary artery bypass graft dysfunction with multidetector computed tomography.

作者信息

Tremblay Jan-Alexis, Stevens Louis-Mathieu, Chandonnet Martin, Soulez Gilles, Basile Fadi, Prieto Ignacio, Noiseux Nicolas, Chartrand-Lefebvre Carl

机构信息

Department of Radiology, Centre Hospitalier de l'Université de Montréal (CHUM).

Division of Cardiac Surgery, Centre Hospitalier de l'Université de Montréal (CHUM); Centre de Recherche du CHUM (CRCHUM), Based in Hôtel-Dieu Hospital, 3840 St-Urbain Street, Montréal (Québec) Canada, H2W 1T8.

出版信息

Clin Imaging. 2015 Nov-Dec;39(6):1006-11. doi: 10.1016/j.clinimag.2015.07.011. Epub 2015 Jul 17.

Abstract

OBJECTIVE

The objective was to assess, with computed tomography (CT) angiography, quantitative morphological parameters of a composite coronary artery bypass grafting (CABG) strategy and to correlate these with graft dysfunction.

FINDINGS

Forty patients [median postoperative time, 32 (14-51) months] underwent CT angiography. Graft patency was assessed, and specific quantitative morphological parameters of the graft were collected. Graft segments had an overall patency rate of 93% (78/84). Two specific morphological parameters were found to be associated with graft dysfunction.

CONCLUSION

A CT morphometric model can be used to identify quantitative 3D parameters associated with graft dysfunction. Such an approach could help in developing and improving CABG designs.

摘要

目的

采用计算机断层扫描(CT)血管造影术评估复合冠状动脉旁路移植术(CABG)策略的定量形态学参数,并将这些参数与移植物功能障碍相关联。

研究结果

40例患者[术后中位时间为32(14 - 51)个月]接受了CT血管造影。评估了移植物通畅情况,并收集了移植物的特定定量形态学参数。移植物节段的总体通畅率为93%(78/84)。发现两个特定的形态学参数与移植物功能障碍相关。

结论

CT形态计量模型可用于识别与移植物功能障碍相关的定量三维参数。这种方法有助于开发和改进CABG设计。

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