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冠状动脉内心肌灌注成像:冠心病患者的模式

Intracoronary myocardial perfusion imaging: patterns in patients with coronary artery disease.

作者信息

Oxley D K, Bolton M R, Shaeffer C, Roger R, Sim D N, Fischer C L

出版信息

Clin Nucl Med. 1978 Mar;3(3):94-102. doi: 10.1097/00003072-197803000-00005.

Abstract

Myocardial imaging following the intracoronary injection of radiolabeled particles is used to identify transmural scars in patients being evaluated for coronary atherosclerosis. Selective imaging of the microcirculation derived from each major coronary vessel is accomplished using a dual radionuclide technique. This report illustrates the various normal and abnormal imaging patterns encountered in patients with coronary artery disease. The regional myocardial nomenclature proposed by the American Heart Association Council on Cardiovascular Surgery is used. Correlation of the nuclear study with the contrast arteriogram and ventriculogram is essential for identifying both transmural scars and regions of collateral circulation. The procedure is safe and can be performed during routine coronary angiography.

摘要

冠状动脉内注射放射性标记颗粒后的心肌成像用于识别正在接受冠状动脉粥样硬化评估的患者的透壁瘢痕。使用双放射性核素技术完成源自各主要冠状动脉的微循环的选择性成像。本报告阐述了冠心病患者中遇到的各种正常和异常成像模式。采用了美国心脏协会心血管外科委员会提出的区域心肌命名法。核素检查与造影剂动脉造影和心室造影的相关性对于识别透壁瘢痕和侧支循环区域至关重要。该操作安全,可在常规冠状动脉造影期间进行。

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