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静脉数字减影血管造影在法洛四联症评估中的应用。

The use of intravenous digital subtraction angiography in the evaluation of tetralogy of Fallot.

作者信息

Gordon T A, Keyser P H, Moodie D S, Sterba R, Gill C C, Yiannikas J

出版信息

Am Heart J. 1986 Jul;112(1):89-96. doi: 10.1016/0002-8703(86)90684-8.

DOI:10.1016/0002-8703(86)90684-8
PMID:3524173
Abstract

Sixteen patients with tetralogy of Fallot were studied with intravenous digital subtraction angiography (DSA). Of these, 11 were males and five were females, ranging in age from 26 months to 54 years, with a mean age of 22 years at the time of the initial study. Twenty-two DSA studies were performed in the 16 patients, in seven patients preoperatively, in 12 patients postoperatively, and in three patients both pre- and postoperatively. In the seven patients studied preoperatively, all DSA studies were considered technically adequate as corroborative evidence in the diagnosis of tetralogy of Fallot. All associated cardiac abnormalities were adequately demonstrated. The 16 postoperative studies on 12 patients were performed to evaluate the adequacy of the surgery and/or postoperative complications. These studies were judged as technically satisfactory. The authors utilized intravenous DSA in the pre- and postoperative evaluation of 16 patients with tetralogy of Fallot and found that reliable angiographic information was provided and that this technique may serve as a useful adjunct with other noninvasive and invasive tests in the preoperative and postoperative evaluation of these patients.

摘要

对16例法洛四联症患者进行了静脉数字减影血管造影(DSA)研究。其中,男性11例,女性5例,年龄从26个月至54岁不等,初次研究时的平均年龄为22岁。16例患者共进行了22次DSA检查,7例患者在术前检查,12例患者在术后检查,3例患者术前术后均进行了检查。在7例术前接受检查的患者中,所有DSA检查在技术上均被认为是充分的,可作为法洛四联症诊断的确证依据。所有相关心脏异常均得到充分显示。对12例患者进行的16次术后检查用于评估手术的充分性和/或术后并发症。这些检查在技术上被判定为令人满意。作者在16例法洛四联症患者的术前和术后评估中使用了静脉DSA,发现其能提供可靠的血管造影信息,并且该技术可作为这些患者术前和术后评估中与其他非侵入性和侵入性检查有用的辅助手段。

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