在跨动脉再血管化过程中进行手术内融合成像
Yi Tong1, Robert Y Rhee1, Albertina Sebastian1
1Division of Vascular Surgery, Maimonides Medical Center, Brooklyn, NY.
Journal of vascular surgery cases and innovative techniques
|September 4, 2023
概括
与标准的TCAR相比,融合导向的横动脉复血管化 (TCAR-F) 显著减少了辐射暴露和对比使用. 这项试点研究表明,TCAR-F为患者和外科医生提供辐射保护.
科学领域:
- 医疗成像医学成像
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 穿动脉复血管化 (TCAR) 是传统动脉干预的替代方案.
- TCAR需要光学指导,对患者和外科医生构成辐射风险.
- 融合导向成像已经在其他内血管手术中显示了辐射减少的好处.
研究的目的:
- 评估一个机构的融合导向TCAR (TCAR-F) 的结果.
- 通过使用血管质量倡议 (VQI) 注册表,将TCAR-F结果与缺乏融合成像的区域TCAR病例进行比较.
主要方法:
- 对TCAR-F病例 (n=30) 与VQI TCAR病例 (n=2535) 的回顾性分析.
- 主要结果:手术时间,剂量区域产品,光镜时间,对比度使用,流量逆转时间.
- 使用威尔希t测试和费舍尔精确测试进行统计比较.
主要成果:
- 在TCAR-F病例中,产品剂量显著降低 (5.67 vs 93.1 Gy cm2),光镜时间缩短 (8.07 vs 16.4 分钟),对比度使用较少 (13.49 vs 76.7 mL).
- 在TCAR-F病例中,总手术时间 (117.3分 vs 80.9分) 和逆流时间 (14.4分 vs 11.7分) 较长.
结论:
- 与没有融合成像的TCAR相比,融合引导的TCAR (TCAR-F) 显示了较低的辐射和对比剂利用率.
- 对于患者和外科小组来说,TCAR-F可能会提供显著的辐射保护益处.
- 需要进一步研究TCAR-F对患者治疗结果和程序效率的影响.
更多相关视频
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
1.5K
05:37Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
6.3K
相关概念视频
Imaging Studies VII: Vascular Imaging
29
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
29
Imaging Studies for Cardiovascular System IV: CMRI
59
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
59
Imaging Studies for Cardiovascular System V: CT
41
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
41
