计算机断层扫描血管学证实大动脉支架在内血管支架后浮动血栓:一个回顾性研究
Lijie Zhang1, Na Li1, Xin Zhang1
1Department of Radiology, Hubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Quantitative imaging in medicine and surgery
|March 28, 2024
概括
大动脉支架浮动血栓 (ASFT) 是罕见的,但计算机断层扫描血管造影 (CTA) 可以评估其演变. 保守治疗对于ASFT可能是有效的,在大多数情况下观察到血栓解脱.
科学领域:
- 心血管成像 - 心血管成像
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 大动脉支架浮动血栓 (ASFT) 是大动脉支架手术后的一种罕见并发症.
- 对ASFT的成像特征和治疗策略需要进一步调查.
- 计算机断层扫描血管造影 (CTA) 对于理解ASFT演变至关重要.
研究的目的:
- 使用CTA分析ASFT的成像表现.
- 探索ASFT的安全和有效的治疗选择.
- 根据成像检查结果对ASFT进行分类.
主要方法:
- 追溯,纵向研究设计.
- 来自10名ASFT患者 (2015-2022) 的临床和成像数据的分析.
- 根据CTA形态,ASFT被分为两种类型:类型1 (条纹/不规则) 和类型2 (自由浮动).
主要成果:
- ASFT发生率为0.62%.
- 在随访期间,CTA确定了21个ASFT (18种类型1,3种类型2).
- 血栓在60%的患者中消失;一个经历了脏梗塞,另一个经历了脏梗塞.
结论:
- ASFT非常罕见,可能与并发性疾病和血液动力学变化有关.
- CTA是ASFT评估的安全和首选的成像方式.
- 保守管理似乎是ASFT的有用和有效的治疗选择.
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