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电子束计算机断层血管造影及三维重建在冠状动脉搭桥术后的临床 …
引用本文:Dai R,Lu B,Zhang S. 电子束计算机断层血管造影及三维重建在冠状动脉搭桥术后的临床 …[J]. 中华医学杂志, 1998, 78(6): 444-447
作者姓名:Dai R  Lu B  Zhang S
摘    要:目的 探讨电子束计算机断层(EBCT)血管造影及三维重建在冠状动脉搭桥术后的临床应用价值。方法 均采用单层增强扫描(SSM)和血流扫描(FLOW STUDY);三维重建采用表面阴影显示法(SSD),并与手术结果做了对照,其中7例有术后造影检查结果。结果 150例EBCT扫描及三维重建均获得成功;399支搭桥血清血管中有318支显示通畅,通畅率为79.7%;其中,100支乳内动脉桥中87支通畅(占8

关 键 词:冠状动脉搭桥术 CT 诊断 三维重建

Three-dimensional reconstruction of electron beam computed tomography angiography for evaluating coronary artery bypass graft patency
Dai R,Lu B,Zhang S. Three-dimensional reconstruction of electron beam computed tomography angiography for evaluating coronary artery bypass graft patency[J]. Zhonghua yi xue za zhi, 1998, 78(6): 444-447
Authors:Dai R  Lu B  Zhang S
Affiliation:Department of Radiology, Cardiovascular Institute of FuWai Hospital, Chinese Academy of Medical Sciences, Beijing.
Abstract:OBJECTIVE: To probe into the value of electron beam computed tomography (EBCT) for evaluating coronary artery bypass graft (CABG) patency follow-up. METHODS: EBCT enhanced single slice mode (SSM) and flow study were performed in 150 patients. The results of 3-D reconstruction of CABG were correlated with bypass operation records and coronary arteriograms in 7 patients. RESULTS: 318 of 399 coronary bypass grafts including IMA in 87/100(87%) and SVG in 228/296(77%) were patent. The overall patent rate was 79.7%. In 7 patients with 12 coronary bypass grafts, EBCT studies showed graft patency in 7 and occlusion in 5, as were confirmed by conventional graft angiography. CONCLUSION: EBCT angiography is a noninvasive method that could replace conventional coronary arteriography for CABG follow-up.
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