中国临床医学影像杂志2011，Vol.22Issue(1)：13-15,3.
双源CT主动脉成像在DeBakey Ⅰ型主动脉夹层杂交手术前后评价中的价值
Dual Source CT angiography in the pre- and post-hybrid surgery of DeBakey type Ⅰ aortic dissection
罗松 1周长圣 1张龙江 1路莉 1赵艳娥 1卢光明1
作者信息
- 1. 南京军区南京总医院医学影像科,江苏,南京,210002
- 折叠
摘要
Abstract
Objective: The purpose of this study was to evaluate the value of dual source CT angiography (CTA) in the pre- and post-hybrid surgery of DeBakey type Ⅰ aortic dissection. Methods: The pre- and post-treatment CTA data from 11 patients with DeBakey type Ⅰ aortic dissection undergoing hybrid surgery were retrospectively analyzed; CTA and intra-operative DSA data from 6 patients correlated with CTA. Results: For all 11 patients, DeBakey type Ⅰ aortic dissection was definitely diagnosed at pre-treatment CTA. Crevasse was localized in the upper part of the ascending aortic root (n=6), the aortic arch (n=3). Organized thrombus in the false cavity was shown in 2 patients. All 11 cases were involved in the thoracic and abdominal aorta, of which 4 cases involved in the branches of aortic arch. Post-operative CTA clearly showed the location of the stents, organized thrombus in the false cavity, reconstructed aortic arch and bypass vessels. Occlusion of the proximal segment of left subclavian artery was demonstrated in two patients, endoleak in one patient; organized thrmbus in the false cavity, enlarged true cavity and patent bypass vessels in the remaining 8 patients. Conclusion: Dual source CT angiography plays an important role in the evaluation of the pre- and post-hybrid surgery of DeBakey type Ⅰ aortic dissection.关键词
动脉瘤,夹层/主动脉瘤/体层摄影术,螺旋计算机/血管造影术,数字减影分类
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罗松,周长圣,张龙江,路莉,赵艳娥,卢光明..双源CT主动脉成像在DeBakey Ⅰ型主动脉夹层杂交手术前后评价中的价值[J].中国临床医学影像杂志,2011,22(1):13-15,3.
