锥形束CT辅助导航在勃起功能障碍患者勃起相关动脉狭窄血管内治疗中的应用
Cone-Beam CT-assisted navigation for endovascular treatment of erection-related artery stenosis in patients with erectile dysfunction.
作者信息
Rosenov Alexander, Mertineit Nando, Baumgartner Iris, Schindewolf Marc
机构信息
Division of Angiology, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Radiology, Buergerspital Solothurn, Solothurn, Switzerland.
出版信息
CVIR Endovasc. 2022 Aug 18;5(1):41. doi: 10.1186/s42155-022-00319-w.
BACKGROUND
Angioplasty and stenting have emerged as endovascular treatment options for arteriogenic erectile dysfunction over the past few years. Considerable anatomical variation of the erection related pelvic arteries can be challenging during these procedures, leading to time-consuming repetitive super-selective angiograms for navigation.
TECHNIQUE
We report a novel technique of using C-arm Cone-Beam CT and vessel navigation software to facilitate super-selective catheterization.
CONCLUSION
Cone-Beam CT-guided navigation for vascular assessment of arteriogenic ED is an optional approach compared to exclusive angiographic assessment. Compared to CT angiography, C-arm Cone-Beam CT offers benefits regarding usage of contrast media and radiation exposure. It has the advantage to combine imaging with endovascular procedures in a single session, reduces time to target navigation in complex pelvic arteries anatomy and may increase therapy safety in endovascular treatment of ED.
背景
在过去几年中，血管成形术和支架置入术已成为治疗动脉源性勃起功能障碍的血管内治疗选择。在这些手术过程中，与勃起相关的盆腔动脉存在相当大的解剖变异，这可能具有挑战性，导致需要耗时的重复超选择性血管造影来进行导航。
技术
我们报告了一种使用C形臂锥形束CT和血管导航软件来促进超选择性导管插入术的新技术。
结论
与单纯血管造影评估相比，锥形束CT引导下的血管评估用于动脉源性勃起功能障碍是一种可选方法。与CT血管造影相比，C形臂锥形束CT在造影剂使用和辐射暴露方面具有优势。它具有在单次手术中将成像与血管内手术相结合的优势，减少了在复杂盆腔动脉解剖结构中靶向导航的时间，并可能提高勃起功能障碍血管内治疗的安全性。
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