肺动脉分支的解剖学变异在接受慢性血栓栓塞性肺高血压评估的患者中
Erinleigh Michaud1, Michael Pan2, Vladimir Lakhter3
1Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
概括
了解肺动脉分支对于肺血栓栓塞性疾病的导管干预至关重要. 肺动脉解剖学的大多数变异都只涉及每个叶片的几种常见模式.
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
- 胸部解剖学 胸部解剖学
背景情况:
- 基于导管的干预越来越多地用于肺血栓栓塞性疾病.
- 对肺动脉细分分支起源的精确解剖学理解对于成功的手术至关重要.
- 肺动脉解剖学的变化可能会影响治疗策略.
研究的目的:
- 描述不同肺动脉细分分支起源模式的流行情况.
- 为干预医生提供肺动脉分支的详细解剖图.
- 为了确定肺动脉解剖学的常见变异.
主要方法:
- 对179名接受双边非选择性侵入性肺血管造影的患者进行了回顾性分析.
- 对慢性血栓栓塞性肺高血压的评估.
- 在所有肺叶中细分动脉起源的详细地图.
主要成果:
- 在所有叶片中观察到肺动脉细分分支起源的显著解剖变异.
- 右上叶显示7个图案,右中叶3,右下叶10个图案.
- 左上叶有8个图案 (5个状),左下叶有9个图案.
- 然而,每个叶片的2-3个常见变异占观察到的模式的90%以上.
结论:
- 每个叶片的有限数量的解剖分支模式占肺动脉变异的绝大多数.
- 这种详细的解剖学知识对于执行导管治疗的干预医生至关重要.
- 通过这种理解,可以提高肺动脉血管学发现报告的标准化.
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