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血管内覆膜支架植入术治疗B型主动脉壁内血肿:术后MDCT随访
引用本文:常宗平,蒋世良,吕滨,胡海波,禹纪红.血管内覆膜支架植入术治疗B型主动脉壁内血肿:术后MDCT随访[J].中国医学影像技术,2012,28(8):1509-1512.
作者姓名:常宗平  蒋世良  吕滨  胡海波  禹纪红
作者单位:北京协和医学院中国医学科学院阜外心血管病医院放射科,北京,100037
摘    要:目的通过MDCT定期随访,评估血管内覆膜支架植入术(ESGT)治疗Stanford B型主动脉壁内血肿(IMH)的效果。方法回顾性分析接受ESGT治疗的17例B型IMH患者的资料。术后随访中,对所有患者行2次以上主动脉MDCT检查。结果 17例经ESGT治疗的B型IMH患者中,6例血肿完全吸收,9例明显吸收,2例血肿部分吸收。随访过程中无死亡病例,无并发症出现。结论 ESGT治疗B型IMH安全有效;MDCT可以作为重要的影像学随访方法。

关 键 词:壁内血肿  血管内覆膜支架植入术  体层摄影术  X线计算机
收稿时间:2012/3/12 0:00:00
修稿时间:2012/5/30 0:00:00

MDCT following-up of type B aortic intramural hematoma after endovascular stent-graft treatment
CHANG Zong-ping,JIANG Shi-liang,LV Bin,HU Hai-bo and YU Ji-hong.MDCT following-up of type B aortic intramural hematoma after endovascular stent-graft treatment[J].Chinese Journal of Medical Imaging Technology,2012,28(8):1509-1512.
Authors:CHANG Zong-ping  JIANG Shi-liang  LV Bin  HU Hai-bo and YU Ji-hong
Institution:Department of Radiology, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;Department of Radiology, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;Department of Radiology, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;Department of Radiology, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;Department of Radiology, Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China
Abstract:Objective To evaluate the role of endovascular stent-graft treatment (ESGT) for type B aortic intramural hematoma (IMH) through MDCT following-up. Methods Seventeen patients with type B IMH treated with ESGT were retrospectively analyzed. During following-up, all patients underwent MDCT examination more than two times. Results After ESGT, complete regression (n=6), significant absorption (n=9) and part absorption (n=2) of type B IMH were observed. During the following-up, no death nor complications occurred. Conclusion ESGT for type B IMH is safe and effective. MDCT can be used as an important imaging method for following-up of type B IMH patients after ESGT.
Keywords:Intramural hematoma  Endovascular stent-graft treatment  Tomography  X-ray computed
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