首都医科大学学报 ›› 2019, Vol. 40 ›› Issue (1): 150-156.doi: 10.3969/j.issn.1006-7795.2019.01.027

• 综述 • 上一篇    下一篇

电子计算机断层扫描血管成像技术在冠状动脉旁路移植术后桥血管评价中的应用

刘飞1, 周自强1, 吴明营1, 鲜军舫2   

  1. 1. 首都医科大学附属北京同仁医院心血管中心, 北京 102600;
    2. 首都医科大学附属北京同仁医院放射科, 北京 102600
  • 收稿日期:2018-01-13 出版日期:2019-01-21 发布日期:2019-01-23
  • 通讯作者: 吴明营 E-mail:trwumy@163.com

Application of computed tomography angiography in evaluation of bridging vessels after coronary artery bypass grafting

Liu Fei1, Zhou Ziqiang1, Wu Mingying1, Xian Junfang2   

  1. 1. Cardiovascular Center, Beijing Tongren Hospital, Capital Medical University, Beijing 102600, China;
    2. Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing 102600, China
  • Received:2018-01-13 Online:2019-01-21 Published:2019-01-23

摘要: 冠状动脉旁路移植术后桥血管是否通畅是影响手术效果和患者预后的主要因素,因此对桥血管的评价具有重要的临床意义。冠状动脉造影是桥血管评价的主要手段,但因其有创及合并症风险,常需住院进行检查,导致其临床应用受限。电子计算机断层扫描血管成像技术(computed tomography angiography,CTA)无创、操作简便、可重复性好。随着电子计算机断层扫描技术的发展,CTA在桥血管评价中的应用越来越受到人们的关注。本文拟就CTA在桥血管评价中的应用历史、现状、热点问题及未来发展作一综述。

关键词: 体层摄影术, X线计算机, 冠状动脉旁路移植术, 桥血管

Abstract: The patency of the bridging vessels is an important factor in terms of surgical outcomes and prognoses in patients undergoing coronary artery bypass graft surgery. Therefore, evaluation of bridging vessels is of important clinical significance. Coronary angiography is a dominant method for the evaluation of bridge vessels. However, due to its invasiveness and complications, patients are usually required to be hospitalized and hence resulting in limited clinical application. Computed tomography angiography (CTA) is non-invasive, easy to operate, and reproducible. With the development of computed tomography technology, the application of CTA in the evaluation of bridge blood vessels has attracted more and more attention. This paper reviews the application history, current situation, hot issues and future development of CTA in bridge vessel evaluation.

Key words: tomography, X-ray computed, coronary artery bypass grafting, bridge vessels

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