上升胸前动脉动脉瘤在呈现时的大小和直径的增长
W A Pace1, K Smith1, A Gamboa2
1Department of Surgery, University of California, San Francisco, 513 Parnassus Ave, Room S-321, San Francisco, CA 94143, USA.
Clinical radiology
|October 13, 2023
概括
肺癌查可能会导致更早地检测上升的胸前动脉动脉瘤 (aTAA). 较大的aTAA生长速度最快,但中型动脉瘤的生长速度较慢.
科学领域:
- 心血管成像 - 心血管成像
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
背景情况:
- 上升胸前动脉动脉瘤 (aTAA) 是发病率和死亡率的重要原因.
- 早期识别和监测TAA增长对于及时干预至关重要.
- 肺癌查计划为偶然检测胸部病理提供了机会.
研究的目的:
- 确定肺癌查是否有助于更早地识别上升胸大动脉动脉瘤 (aTAA).
- 调查TAA大小与其增长率之间的关系.
- 为了比较aTAA表现尺寸在肺癌查指南实施之前和之后.
主要方法:
- 在20年的时间里,对732名患者的计算机断层扫描 (CT) 数据进行了回顾性分析.
- 从CT扫描中识别和测量aTAAs (>39毫米).
- 基于呈现年份的aTAA直径的比较和对连续CT检查患者的生长率的分析.
主要成果:
- 在2013年12月之前发现的aTAA患者的初始直径明显大于后来发现的患者.
- aTAA的整体平均增长率为每年0.1毫米.
- 在最大的aTAA (≥55毫米) 中观察到最快的增长率 (1.9毫米/年),而较小的aTAA (<40毫米) 的增长率为0.2毫米/年,而测量45-49毫米的aTAA显示出最慢的增长.
结论:
- 肺癌查可能有助于更早地检测上升的胸前大动脉动脉瘤.
- 动脉瘤的大小会影响其生长速度,较大的动脉瘤会扩张得更快.
- 一个特定的尺寸范围 (45-49毫米) 显示了研究组中最慢的生长率.
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