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What is the best strategy for brain protection in patients undergoing aortic arch surgery? A single center experience of 636 patients.在主动脉弓手术患者中,什么是最佳的脑保护策略?单中心 636 例患者的经验。
Ann Thorac Surg. 2012 May;93(5):1502-8. doi: 10.1016/j.athoracsur.2012.01.106. Epub 2012 Apr 4.
2
Aortic arch occlusion technique using a balloon during open proximal anastomosis.在开放性近端吻合术中使用球囊的主动脉弓阻断技术。
Gen Thorac Cardiovasc Surg. 2012 Apr;60(4):247-8. doi: 10.1007/s11748-011-0828-7. Epub 2012 Mar 28.
3
Characterization of atherosclerotic plaque of carotid arteries with histopathological correlation: vascular wall MR imaging vs. color Doppler ultrasonography (US).颈动脉粥样硬化斑块的特征及其组织病理学相关性:血管壁磁共振成像与彩色多普勒超声检查对比
J Magn Reson Imaging. 2008 Aug;28(2):478-85. doi: 10.1002/jmri.21250.
4
Association between signal hyperintensity on T1-weighted MR imaging of carotid plaques and ipsilateral ischemic events.颈动脉斑块T1加权磁共振成像信号高强化与同侧缺血性事件之间的关联。
AJNR Am J Neuroradiol. 2007 Feb;28(2):287-92.
5
Pathology of the thin-cap fibroatheroma: a type of vulnerable plaque.薄帽纤维粥样瘤的病理学:一种易损斑块类型。
J Interv Cardiol. 2003 Jun;16(3):267-72. doi: 10.1034/j.1600-0854.2003.8042.x.
6
Prevalence of complicated carotid atheroma as detected by magnetic resonance direct thrombus imaging in patients with suspected carotid artery stenosis and previous acute cerebral ischemia.在疑似颈动脉狭窄和既往有急性脑缺血的患者中,通过磁共振直接血栓成像检测到的复杂性颈动脉粥样硬化的患病率。
Circulation. 2003 Jun 24;107(24):3053-8. doi: 10.1161/01.CIR.0000074204.92443.37. Epub 2003 Jun 9.
7
Characterization of complicated carotid plaque with magnetic resonance direct thrombus imaging in patients with cerebral ischemia.脑缺血患者中应用磁共振直接血栓成像对复杂颈动脉斑块的特征分析
Circulation. 2003 Jun 24;107(24):3047-52. doi: 10.1161/01.CIR.0000074222.61572.44. Epub 2003 Jun 9.

采用磁化准备梯度回波成像对全弓置换患者的高危主动脉斑块进行术前评估

Preoperative Assessment of High-Risk Aortic Plaque by Magnetization-Prepared Rapid Acquisition with Gradient-Echo Imaging in a Patient with Total Arch Replacement.

作者信息

Seike Yoshimasa, Minatoya Kenji, Sasaki Hiroaki, Tanaka Hiroshi, Itonaga Tatsuya, Oda Tatsuya, Inoue Yosuke, Noguchi Teruo, Ishibashi-Ueda Hatsue, Kobayashi Junjiro

机构信息

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

出版信息

Ann Vasc Dis. 2015;8(4):337-9. doi: 10.3400/avd.cr.15-00080. Epub 2015 Nov 27.

DOI:10.3400/avd.cr.15-00080
PMID:26730264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4691513/
Abstract

We present a case of a 70-year-old male who underwent surgical repair of an aortic arch aneurysm. Preoperative assessment of high-risk aortic plaque was performed using magnetization-prepared rapid acquisition with gradient-echo (MPRAGE) imaging. This preoperative image was compared with a histological analysis of plaque specimens from the aortic arch and neck vessels. A high signal intensity on MPRAGE images coincided with intraplaque hemorrhage. MPRAGE, which could detect a fragile plaque in the aorta, could be a powerful modality to prevent intraoperative stroke during cardiovascular surgery.

摘要

我们报告一例70岁男性接受主动脉弓动脉瘤手术修复的病例。术前使用磁化准备快速梯度回波(MPRAGE)成像对高危主动脉斑块进行评估。将该术前图像与主动脉弓和颈部血管斑块标本的组织学分析进行比较。MPRAGE图像上的高信号强度与斑块内出血一致。MPRAGE能够检测主动脉中的易损斑块,可能是预防心血管手术中术中中风的有力手段。