临床上有意义的意外非心脏性发现,在术前计算机断层扫描中发现,在接受主动脉置换的主动脉狭窄患者中,主动脉置换
Ko Yamamoto1, Yasuaki Takeji2, Tomohiko Taniguchi3
1Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
Journal of cardiology
|May 16, 2024
概括
在严重的大动脉狭窄症 (AS) 患者中,大动脉置换 (AVR) 的手术前CT扫描经常显示出显著的偶然非心脏发现. 大约40%的患者发现了新的异常,其中包括小比例的恶性瘤.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 胸部外科手术 胸部外科手术
背景情况:
- 大动脉狭窄 (AS) 是一种严重的心血管疾病,需要大动脉置换 (AVR).
- 术前计算机断层扫描 (CT) 对于计划AVR至关重要,但对偶然的非心脏发现的数据有限.
- 偶然发现可能会影响患者的治疗和结果.
研究的目的:
- 确定在重症AS患者接受AVR的手术前CT上临床显著的偶发性非心脏病发现的流行率.
- 为了比较通过导管的大动脉植入 (TAVI) 和外科AVR (SAVR) 之间的这些发现的流行程度.
主要方法:
- 连续593名严重AS患者进行AVR的回顾性分析.
- 对临床上显著的偶然非心脏病发现进行手术前CT扫描的评估.
- 将重大发现定义为需要进一步调查或管理的发现.
主要成果:
- 38.3%的患者 (227/593) 至少有一次临床显著的偶然非心脏发现.
- 在2.5%的患者中检测到恶性病变.
- 与手术AVR (SAVR) 组 (31.3%) 相比,跨导管大动脉植入 (TAVI) 组 (40.2%) 的发病率更高.
- 发现患病率随着年龄的增长而增加,特别是在60岁以上的人群中.
结论:
- 在经过AVR的严重AS患者的手术前CT经常识别出临床上显著的偶然非心脏发现.
- 这些发现,包括恶性瘤,需要仔细审查,并可能影响患者的护理途径.
- 在TAVI患者中更高的患病率要求进一步调查对程序选择和管理的潜在影响.
相关概念视频
Imaging Studies for Cardiovascular System III: X-Ray
178
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
178
Imaging Studies I: CT and MRI
235
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
235
Imaging Studies for Cardiovascular System I:Echocardiography
318
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
318
Radiological Investigation I: X-ray and CT
232
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
232


