期刊文献+

完全性大动脉转位患者冠状动脉解剖分型的多层螺旋CT研究 被引量:3

Anatomic classification of coronary arteries in complete transposition of great arteries:diagnosis and analysis with multi-slice CT
收藏 分享 导出
摘要 目的:探讨MSCT在完全性大动脉转位(D-TGA)患者冠状动脉解剖分型的诊断价值及解剖类型的分布情况。方法回顾性分析2005年3月至2015年6月在我院进行MSCT检查的367例D-TGA患者的临床及CT检查资料,采用Marie Lannelongue分型对D-TGA患者的冠状动脉起源、走行进行解剖分型,将D-TGA患者的冠状动脉分为常态走行、成襻走行、壁内走行、壁内与成襻同时存在的混合走行4个类型(Ⅰ~Ⅳ型),进一步分为11种亚型。分析各种冠状动脉的解剖学类型,并采用分类变量资料中的构成比进行统计描述。结果 MSCT对367例D-TGA患者的冠状动脉起源、近段走行均能清晰显示。本组病例冠状动脉解剖类型包括方法中提到的全部4个类型11种亚型:Ⅰ型,常态走行209例(56.95%);Ⅱ型,成襻走行共138例(37.60%),其中后襻走行63例(ⅡA型,17.17%)、前襻走行30例(ⅡB型,8.17%)、双襻走行45例(ⅡC型,12.26%);Ⅲ型,壁内走行16例(4.36%);Ⅳ型,壁内与成襻同时存在的混合走行4例(1.09%)。其中成襻走行的8种亚型的构成比为:ⅡA-1型44例(11.99%)、ⅡA-2型19例(5.18%)、ⅡB-1型12例(3.27%)、ⅡB-2型8例(2.18%)、ⅡB-3型10例(2.72%)、ⅡC-1型25例(6.81%)、ⅡC-2型17例(4.63%)、ⅡC-3型3例(0.82%)。结论 MSCT可显示D-TGA患者冠状动脉的起源及走行,对其进行准确解剖分型。 Objective To evaluate the diagnostic value of multi-slice spiral CT (MSCT) in classifying coronary arteries of complete transposition of great arteries (D-TGA). Methods The clinical and imaging data of 367 patients with D-TGA who had undergone MSCT examination from March 2005 to June 2015 were retrospectively analyzed. The origin and course of the coronary arteries of the patients were classified according to the Marie Lannelongue classification. There were four patterns of courses: normal, looping, intramural and miscellaneous. And the four patterns were subdivided into eleven subgroups. The anatomic classification of coronary arteries in D?TGA were recorded, and the ratio of descriptive statistics was used according to categorical variable data. Results All the origin and course of the coronary arteries could be clearly displayed on MSCT. Of 367 patients with D-TGA, 209 cases (56.95%) were normal course (typeⅠ), 138 cases (37.60%) were looping course (typeⅡ), 16 cases (4.36%) were intramural course (typeⅢ), and 4 cases (1.09%) were miscellaneous course (typeⅣ). In looping course, the posterior looping (typeⅡA), anterior looping (typeⅡB) and double looping (typeⅡC) were found in 63 cases (17.17%), 30 cases (8.17%) and 45 cases (12.26%), respectively. The ratios of the anatomic classification of looping courses wereⅡA-1 44(11.99%),ⅡA-2 19(5.18%),ⅡB-1 12(3.27%),ⅡB-2 8(2.18%),ⅡB-3 10(2.72%),ⅡC-1 25 (6.81%),ⅡC-2 17(4.63%),ⅡC-3 3(0.82%). Conclusions MSCT is an effective technique to visualize and classify the coronary arteries in patients with D-TGA. And it is helpful for successful transfer of the coronary arteries and reducing the rate of coronary events after operation.
作者 罗海营 钟小梅 黄美萍 丁以群 庄建 刘辉 李景雷 Luo Haiying, Zhong Xiaomei, Huang Meiping, Ding Yiqun, Zhuang Jian, Liu Hui, Li Jinglei(Department of Cardiac Catheterization, Guangdong General Hospital, GuangdongProvincial Key Laboratory of South China Structural Heart Disease, Guangdong Cardiovascular Institute, Guangdong Academy of Medical Sciences, Guangzhou 510080, China)
出处 《中华放射学杂志》 CAS CSCD 北大核心 2016年第7期504-508,共5页 Chinese Journal of Radiology
基金 广东省科技计划项目(2014A020212228,2009B030801257) 广东省医学科研基金(A2014051) 国家自然科学基金.广东联合基金重点支持项目(U1401255)
关键词 心血管畸形 冠状血管 体层摄影术 X线计算机 Cardiovascular abnormalities Coronary vessels Tomography, X-ray computed
  • 相关文献

参考文献12

  • 1Villafafie J, Lantin-Hermoso MR, Bhatt AB, et al. D-transposition of the great arteries: the current era of the arterial switch operation[J]. J Am Coil Cardiol, 2014, 64(5): 498-511. DOI:10.1016/j.jacc.2014.06.1150. 被引量:1
  • 2Ou P, Khraiche D, Celermajer DS, et al. Mechanisms of coronary complications after the arterial switch for transposition of the great arteries[J]. J Thorac Cardiovasc Surg, 2013, 145(5): 1263-1269. 被引量:1
  • 3Lacour-Gayet F, Anderson RH. A uniform surgical technique for transfer of both simple and complex patterns of the coronary arteries during the arterial switch procedure[J]. Cardiol Young, 2005, 15 Suppl 1: 93-101. 被引量:1
  • 4Sithamparanathan S, Padley SP, Rubens MB, et al. Great vessel and coronary artery anatomy in transposition and other coronary anomalies: a universal descriptive and alphanumerical sequential classification[J]. JACC Cardiovasc Imaging, 2013, 6(5): 624-630. 被引量:1
  • 5Baraona F, Valente AM, Porayette P, et al. Coronary Arteries in Childhood Heart Disease: Implications for Management of Young Adults [J]. J Clin Exp Cardiolog, 2012, 15( Suppl 8) pii: 006. 被引量:1
  • 6黄美蓉,陈树宝.完全性大动脉转位冠状动脉解剖类型55例分析[J].中华心血管病杂志,2000,28(5):363-366. 被引量:10
  • 7Nakagawa M, Hara M, Sakurai K, et al. Usefulness of electrocardiography-gated dual-source computed tomography for evaluating morphological features of the ventricles in children with complex congenital heart defects[J]. Jpn J Radial, 2011, 29(8): 540-546. 被引量:1
  • 8Yakoumakis EN, Gialousis GI, Papadopoulou D, et al. Estimation of children's radiation dose from cardiac catheterisations, performed for the diagnosis or the treatment of a congenital heart disease using TLD dosimetry and Monte Carlo simulation[J]. J Radiol Prot, 2009, 29(2): 251-261. 被引量:1
  • 9蒋骏,黄美萍,雷益,梁长虹,庄建,李景雷,刘辉,罗纯.全模型迭代重建技术在心脏CT成像中应用的实验研究[J].中华放射学杂志,2015,0(6):473-477. 被引量:26
  • 10Juan CC, Hwang B, Lee PC, et al. Diagnostic application of multidetector-row computed tomographic coronary angiogTaphy to assess coronary abnormalities in pediatric patients: comparison with invasive coronary angiography[J]. Pediatr Neonatol, 2011, 52 (4): 208-213. 被引量:1

二级参考文献27

  • 1李凡东,范全心,邹承伟,李红昕.冠状动脉畸形对复杂先心病右室流出道重建的影响[J].中华外科杂志,2006,44(10):655-657. 被引量:5
  • 2Brenner D J, Hall EJ. Computed tomography- an increasing source of radiation exposure[J].N Engl J Med, 2007, 357(22): 2277-2284. 被引量:1
  • 3Prakash P, Kalra MK, Digumarthy SR, et al. Radiation dose reduction with chest computed tomography using adaptive statistical iterative reconstruction technique: initial experience[J].J Comput Assist Tomogx, 2010, 34(1):40-45. 被引量:1
  • 4Schindera ST, Diedrichsen L,MtillerHC, et al. Iterative reconstruction algorithm for abdominal muhidetector CT at different tube voltages: assessment of diagnostic accuracy, image quality, and radiation dose in a phantom study[J]. Radiology, 2011,260(2):454-462. 被引量:1
  • 5Funama Y, Taguchi K, Utsunomiya D, et al. Combination of a low-tube-voltage technique with hybrid iterative reconstruction (iDose) algorithm at coronary computed tomographic angiography[J].J Comput Assist Tomogr, 2011, 35(4):480-485. 被引量:1
  • 6Cheng Z, Wang X, Duan Y, et al. Low-dose prospective ECG- triggering dual-source CT angiography in infants and children with complex congenital heart disease: first experience[J].Eur Radiol, 2010, 20(10):2503-2511. 被引量:1
  • 7Paul JF, Rohnean A, Elfassy E, et al. Radiation dose for thoracic and coronary step-and-shoot CT using a 128-slice dual - source machine in infants and small children with congenital heart disease[J].Pediatr Radiol, 2011,41 (2):244-249. 被引量:1
  • 8Tsai IC, Chen MC, Jan SL, et al. Neonatal cardiac multidetector row CT: why and how we do it[J].Pediatr Radiol, 2008, 38(4):438-451. 被引量:1
  • 9Huang MP, Liang CH, Zhao Z J, et al. Evaluation of image quality and radiation dose at prospective ECG-triggered axial 256-slice multi-detector CT in infants with congenital heart disease[J].Pediatr Radiol, 2011, 41(7):858-866. 被引量:1
  • 10Srichai MB, Lira RP, Donnino R, et al. Low-dose, prospective triggered high- pitch spiral coronary computed tomography angiography: comparison with retrospective spiral technique [J].Acad Radiol, 2012, 19(5):554-561. 被引量:1

共引文献46

同被引文献14

引证文献3

二级引证文献4

投稿分析
职称考试

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈