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DSA在急性缺血性脑血管病介入治疗中的应用
引用本文:王金龙,凌锋,李慎茂,吉训明.DSA在急性缺血性脑血管病介入治疗中的应用[J].介入放射学杂志,2008,17(2):80-84.
作者姓名:王金龙  凌锋  李慎茂  吉训明
作者单位:北京首都医科大学宣武医院介入中心,100053
基金项目:国家自然科学基金资助项目(30500166)
摘    要:目的探讨DSA在急性缺血性脑血管病介入检查及治疗中的应用价值。方法分析550例急性缺血性脑血管病患者进行介入治疗过程中DSA设备使用情况,总结合理利用DSA设备的经验。结果DSA的应用将有助于急性缺血性脑血管病快速诊断和介入治疗疗效评价;DSA实用投照角度的应用能够清晰显示目标血管狭窄病变的形态、程度等信息,为介入治疗提供最佳工作位置,有助于缺血性脑血管病的影像诊断和介入治疗;旋转DSA图像采集及图像三维重建技术的应用将有助于成功地开展介入治疗手术;应用DSA图像测量技术能够为操作医师选择介入材料提供精确的数据信息。结论合理利用DSA设备对于急性缺血性脑血管病的诊断和介入治疗手术成败起着至关重要的作用。DSA设备为介入治疗提供了良好的操作平台,DSA是诊断急性缺血性脑血管病的金标准。

关 键 词:数字减影血管造影  缺血性脑血管病  介入学
文章编号:1008-794X(2008)-02-0080-05
收稿时间:2007-09-28

Application of DSA in interventional treatment of acute ischemic cerebrovascular disease
WANG Jin-long,LING Feng,LI Shen-mao,JI Xun-ming.Application of DSA in interventional treatment of acute ischemic cerebrovascular disease[J].Journal of Interventional Radiology,2008,17(2):80-84.
Authors:WANG Jin-long  LING Feng  LI Shen-mao  JI Xun-ming
Abstract:Objective To study the utilization of DSA for interventional examination and therapy in acute ischemic cerebrovascular disease. Methods The summarization of properly utilizing the DSA equipment and events happening in the process were analyzed after application on 550 cases with acute ischemic cerebrovascular attacks. Results Application of perfusion DSA is useful to obtain rapid diagnosis and evaluation of interventional therapeutic efficacy for acute ischemic cerebrovascular disease. The practical projection angle can display the features and extent of vasculopathy clearly, and offer the best operative position for promotion of rotation DSA and the diagnostic imaging and therapeutic efficacy, three-dimensional reconstruction are usful to the success of interventional management. Imaging measuring technique of DSA would provide precise data for doctors to choose the accurate intervention materials. Conclusion Reasonable utilization of DSA equipment plays an important role in interventional therapy of acute ischemic cerebrovascular disease, and also is the gold standard for displaying images for rapid diagnosis.
Keywords:Digital subtraction angiography(DSA)  Ischemic cerebrovascular disease  Intervention
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