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平板探测器血管造影系统在血管内介入手术中进行血管造影CT的临床应用

Clinical Utility of Angiographic CT with a Flat-detector Angiographic System during Endovascular Procedure.

作者信息

Choi Seon Woong, Jo Kwang Wook, Kim Young Woo, Kim Seong Rim, Park Ik Seong, Kim Hoon

机构信息

Department of Neurosurgery, Bucheon St Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2016 Sep;18(3):247-252. doi: 10.7461/jcen.2016.18.3.247. Epub 2016 Sep 30.

DOI:10.7461/jcen.2016.18.3.247
PMID:27847769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5104850/
Abstract

OBJECTIVE

We evaluated the feasibility of angiographic computed tomography (ACT) for visualizing stent material in patients who underwent intracranial or extracranial stent placement to treat atherosclerotic lesions or stent assisted coil embolization.

MATERIALS AND METHODS

We performed intrarterial and intravenous ACT on biplane angiography system equipped with flat panel detectors (Axiom Arits dBA; Siemens Medical Solutions, Forchheim, Germany). Vistipaque 320 was injected for contrast medium, total 150 mL at flow rate of 5 mL/s through artery and 77 mL at flow rate of 3.5 mL/s through vein.

RESULTS

ACT is a new imaging modality that provides a clear visualization of stent strut.

CONCLUSION

Therefore this new application has potential to become the noninvasive option for follow-up after endovascular surgery using stents.

摘要

目的

我们评估了血管造影计算机断层扫描(ACT)在可视化接受颅内或颅外支架置入以治疗动脉粥样硬化病变或支架辅助弹簧圈栓塞患者的支架材料方面的可行性。

材料与方法

我们在配备平板探测器的双平面血管造影系统(Axiom Arits dBA;西门子医疗解决方案公司,德国福希海姆)上进行了动脉内和静脉内ACT。注射威视派克320作为造影剂,通过动脉以5 mL/s的流速共注射150 mL,通过静脉以3.5 mL/s的流速注射77 mL。

结果

ACT是一种新的成像方式,可清晰显示支架支柱。

结论

因此,这种新应用有可能成为使用支架的血管内手术后随访的无创选择。

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本文引用的文献

1
Angiographic CT with intravenous administration of contrast medium is a noninvasive option for follow-up after intracranial stenting.静脉注射造影剂的血管造影CT是颅内支架置入术后随访的一种非侵入性选择。
Neuroradiology. 2008 Apr;50(4):349-54. doi: 10.1007/s00234-007-0342-x. Epub 2008 Feb 2.
2
Long-term outcome of elective stenting for symptomatic intracranial vertebrobasilar stenosis.症状性颅内椎基底动脉狭窄择期支架置入术的长期疗效
Neurology. 2007 Mar 13;68(11):856-8. doi: 10.1212/01.wnl.0000256713.23864.be.
3
Increased cell opening and prolapse of struts of a neuroform stent in curved vasculature: value of angiographic computed tomography: technical case report.
Neurosurgery. 2006 Apr;58(4 Suppl 2):ONS-E380; discussion ONS-E380. doi: 10.1227/01.NEU.0000205287.06739.E1.
4
Ultra-high resolution flat-panel volume CT: fundamental principles, design architecture, and system characterization.超高分辨率平板容积CT:基本原理、设计架构及系统特性
Eur Radiol. 2006 Jun;16(6):1191-205. doi: 10.1007/s00330-006-0156-y. Epub 2006 Mar 10.
5
Treatment of wide-necked intracranial aneurysms with a self-expanding stent: mid-term results.使用自膨式支架治疗宽颈颅内动脉瘤:中期结果。
Zentralbl Neurochir. 2005 Nov;66(4):163-9. doi: 10.1055/s-2005-836921.
6
3D cerebral angiography: radiation dose comparison with digital subtraction angiography.三维脑动脉造影术:与数字减影血管造影术的辐射剂量比较
AJNR Am J Neuroradiol. 2005 Sep;26(8):1898-901.
7
Angiographic CT in cerebrovascular stenting.脑血管支架置入术中的血管造影CT
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8
Stent-assisted coil embolization of intracranial wide-necked aneurysms.颅内宽颈动脉瘤的支架辅助弹簧圈栓塞术
Neuroradiology. 2005 Sep;47(9):680-9. doi: 10.1007/s00234-005-1402-8. Epub 2005 Jul 19.
9
Endovascular occlusion of wide-necked aneurysms with a new intracranial microstent (Neuroform) and detachable coils.使用新型颅内微支架(Neuroform)和可脱卸弹簧圈对宽颈动脉瘤进行血管内栓塞治疗。
Neurosurgery. 2004 Jun;54(6):1359-67; discussion 1368. doi: 10.1227/01.neu.0000124484.87635.cd.
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