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计算机断层扫描评估冠状动脉搭桥血管通畅性。与冠状动脉造影的比较(作者译)

[Evaluation of coronary artery graft patency by computed tomography. Comparison with coronary arteriography (author's transl)].

作者信息

Mühlberger V, zur Nedden D, Knapp E, Unger F, Scharfetter H, Braunsteiner H

出版信息

Z Kardiol. 1981 May;70(5):377-9.

PMID:6973900
Abstract

In 14 patients with 19 coronary artery saphenous vein by-pass grafts (ACVB), computed transmission tomography has been performed the day before selective coronary angiography. Non-dynamic, contrast-enhanced sequential scans at 8-mm intervals were obtained starting at the cranial clips, ending at the left ventricle. CT scans were interpreted without knowledge of the catheterisation results. Sensitivity of this technique is 88%. Out of 17 ACVB patent by catheterisation, 15 ACVB are patent by CT. One occluded ACVB to the right coronary artery was thought to be patent by CT scan. This non-invasive technique shows promise as a method to follow up patients after ACVB-grafting.

摘要

对14例患者的19条冠状动脉大隐静脉旁路移植血管(ACVB),在选择性冠状动脉造影前一天进行了计算机断层扫描。从颅侧夹开始,以8毫米间隔进行非动态、对比增强的连续扫描,直至左心室结束。CT扫描的解读不了解导管插入术的结果。该技术的敏感性为88%。在经导管检查确定为通畅的17条ACVB中,CT显示15条通畅。一条右冠状动脉闭塞的ACVB经CT扫描被认为是通畅的。这种非侵入性技术有望成为ACVB移植术后患者随访的一种方法。

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