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冠状动脉搭桥术:磁共振成像可视化

Coronary artery bypass grafts: visualization with MR imaging.

作者信息

Gomes A S, Lois J F, Drinkwater D C, Corday S R

出版信息

Radiology. 1987 Jan;162(1 Pt 1):175-9. doi: 10.1148/radiology.162.1.3491379.

DOI:10.1148/radiology.162.1.3491379
PMID:3491379
Abstract

To evaluate the use of magnetic resonance (MR) imaging in the detection of coronary artery bypass grafts (CABGs), 20 patients with grafts underwent electrocardiographic-gated MR study. The number and location of CABGs in each patient were not known at the time of study. The number of grafts seen with MR imaging was compared with the actual number of grafts determined from the operative or angiographic report. On the prospective review of the images, 54 of 64 grafts (84%) were detected, with three false-positive results. When the images were reevaluated with knowledge of the type and number of grafts in each patient, 56 of 64 grafts (88%) were detected. Forty-one of the 46 (89%) left grafts, 15 of the 18 (83%) right grafts, and five of the 11 (45%) internal mammary grafts were detected. Although resolution was not adequate to determine the presence of graft stenosis, this early experience indicates that patent CABGs can be seen with MR imaging.

摘要

为评估磁共振(MR)成像在检测冠状动脉旁路移植术(CABG)中的应用,对20例接受移植术的患者进行了心电图门控MR研究。研究时,每位患者的CABG数量和位置均未知。将MR成像所显示的移植血管数量与手术或血管造影报告中确定的实际移植血管数量进行比较。在对图像进行前瞻性评估时,64条移植血管中有54条(84%)被检测到,有3例假阳性结果。当根据每位患者的移植血管类型和数量重新评估图像时,64条移植血管中有56条(88%)被检测到。46条左移植血管中的41条(89%)、18条右移植血管中的15条(83%)以及11条乳内移植血管中的5条(45%)被检测到。尽管分辨率不足以确定移植血管狭窄的存在,但这一早期经验表明,MR成像能够显示通畅的CABG。

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1
Coronary artery bypass grafts: visualization with MR imaging.冠状动脉搭桥术:磁共振成像可视化
Radiology. 1987 Jan;162(1 Pt 1):175-9. doi: 10.1148/radiology.162.1.3491379.
2
Coronary artery bypass graft patency: noninvasive evaluation with MR imaging.冠状动脉搭桥移植血管通畅性:磁共振成像的无创评估
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引用本文的文献

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Non-invasive magnetic resonance imaging of coronary bypass grafts. comparison of the haste- and navigator techniques with conventional coronary angiography.冠状动脉搭桥移植术的非侵入性磁共振成像。快速自旋回波序列和导航技术与传统冠状动脉造影的比较。
Int J Cardiovasc Imaging. 2002 Dec;18(6):469-77; discussion 483-4. doi: 10.1023/a:1021149420323.
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Value of navigator echo magnetic resonance angiography in detecting occlusion/patency of arterial and venous, single and sequential coronary bypass grafts.
Int J Card Imaging. 2000 Jun;16(3):149-60. doi: 10.1023/a:1006432027712.
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The role of magnetic resonance in the evaluation of functional results after CABG/PTCA.
Int J Card Imaging. 1993;9 Suppl 1:59-69. doi: 10.1007/BF01143147.
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Nuclear magnetic resonance imaging of the heart.心脏的核磁共振成像
Eur J Nucl Med. 1988;13(12):653-60. doi: 10.1007/BF00256393.
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Identification of coronary artery by-pass grafts: reliability of MRI in clinical practice.冠状动脉搭桥移植血管的识别:磁共振成像在临床实践中的可靠性
Int J Card Imaging. 1992;8(2):85-94. doi: 10.1007/BF01137529.
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Magnetic resonance coronary artery imaging.
Cardiovasc Intervent Radiol. 1992 Jan-Feb;15(1):23-31. doi: 10.1007/BF02733896.