中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (12): 985-988.

• 专题笔谈 • 上一篇    下一篇

影像技术在腹主动脉瘤腔内治疗中的应用价值

刘长建   

  1. 南京大学医学院附属鼓楼医院血管外科,江苏南京210008
  • 出版日期:2012-12-01 发布日期:2012-11-29

  • Online:2012-12-01 Published:2012-11-29

摘要:

血管腔内治疗技术的发展有赖于相关影像技术的不断改进。理想的影像学方法应该可为腹主动脉瘤病人和主动脉腔内修复(EVAR)手术提供准确诊断,确定动脉直径,评估主动脉、髂动脉和动脉瘤颈壁的特征,了解支架人工血管置放动脉通路等资料,以便制定治疗方案和选择支架人工血管。单纯血管造影已不能提供EVAR手术必须的完整资料,先进的数字化血管造影、CT血管造影、磁共振血管造影和血管腔内超声技术在血管疾病腔内治疗中已起到十分重要的作用,这些影像技术的联合应用,将进一步提高血管疾病的治疗水平。

关键词: 腹主动脉瘤, 影像学检查, 主动脉腔内修复术

Abstract:

Value of imaging in the endovascular repair for abdominal aortic aneurysm        LIU Chang-jian. Department of Vascular Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
Abstract    The development of endovascular techniques depends on the concomitant development of imaging techniques. The ideal imaging method for endovascular aortic repair (EVAR) should provide data for diagnosis, for assessment of the vessel diameters, for characterization of the wall of the aorta and iliac arteries and the aneurysm neck, and for guidance on stent graft deployment, so as to assess the plan of treatment and accurate parameters of stent graft. Angiography alone cannot provide all information necessary for EVAR. Advanced methods, which include rotational angiography , CTA, MRA and intravascular ultrasound, have been playing an important role in endovascular treatment of vascular disease. The combined use of new imaging techniques will further improve the treatment of vascular disease in the future.

Key words: abdominal aortic aneurysm; , imaging; , endovascular aortic repair