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[血管形态在选择性腹腔动脉造影和肠系膜动脉造影中导管选择的价值]

[Value of vascular morphology for the selection of catheters in selective celiacography and mesentericography].

作者信息

Glück E, Gerhardt P, Schröder J

出版信息

Rofo. 1983 Jun;138(6):664-9. doi: 10.1055/s-2008-1055808.

Abstract

By means of 192 lateral aortograms the vascular morphology of the coeliac and superior mesenteric artery were correlated to age, sex and body weight. Independently of these parameters 90% of the exit angles of the coeliac artery were situated between 15 degrees and 90 degrees with a median of 45 degrees. In persons with less than 65 kg body weight the median origin angle of the superior mesenteric artery corresponded to 45 degrees, too, whereas in heavier patients they were bigger (60 degrees). The vascular diameter and the further course of the superior mesenteric artery significantly depended on the constitutional type. In 40.5% we saw a cranial eccentric stenosis of the coeliac artery. Frequency and intensity were not influenced by age, sex or body weight, but accompanied by smaller origin angles of the coeliac artery and bigger ones of the superior mesenteric artery. In conclusion different catheter shapes in dependence of the constitutional type are recommended for combined coeliac and mesenteric angiography.

摘要

通过192例腹主动脉造影,研究了腹腔干和肠系膜上动脉的血管形态与年龄、性别及体重的关系。不考虑这些参数,腹腔干90%的出口角度位于15度至90度之间,中位数为45度。体重小于65kg的人群中,肠系膜上动脉的起始角度中位数也为45度,而体重较重的患者其起始角度更大(60度)。肠系膜上动脉的血管直径和走行明显取决于体型。40.5%的患者可见腹腔干颅侧偏心性狭窄。其发生率和严重程度不受年龄、性别或体重的影响,但伴有腹腔干较小的起始角度和肠系膜上动脉较大的起始角度。总之,对于联合腹腔干和肠系膜动脉造影,建议根据体型使用不同形状的导管。

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