摘要
目的总结三维数字减影血管造影(3D-DSA)在移植肾动脉吻合口假性动脉瘤腔内修复中的应用体会。方法回顾性分析2012年4月—2020年10月在我院行腔内修复的4例移植肾动脉吻合口假性动脉瘤病人的3D-DSA影像资料,其中1例病人在二次手术时行第2次3D-DSA检查。结果 5次3D-DSA经容积重建(VR)获得的三维图像均能清楚显示吻合口假性动脉瘤瘤颈及其与邻近血管的空间解剖关系,为腔内覆膜支架置入和球囊扩张提供最佳的工作角度。结论在移植肾动脉吻合口假性动脉瘤病人需要进行腔内介入手术干预时,3D-DSA可作为一项重要的诊疗技术。
Objective To summarize the experience in the application of three-dimensional digital subtraction angiography(3 D-DSA) in endovascular repair of pseudoaneurysm at the arterial anastomosis of the transplanted kidney. Methods A retrospective analysis was performed for the 3 D-DSA imaging data of four patients with pseudoaneurysm at the arterial anastomosis of the transplanted kidney who underwent endovascular repair in our hospital from April 2012 to October 2020, among whom one patient underwent 3 D-DSA examination for the second time during the second surgery. Results The three-dimensional images obtained by volume reconstruction of the five times of 3 D-DSA clearly displayed the aneurysm neck of pseudoaneurysm at the anastomosis and its spatial anatomical relationship with adjacent blood vessels, which provided the best working angle for endovascular covered stent implantation and balloon dilatation. Conclusion 3 D-DSA can be used as an important diagnosis and treatment technique in patients with pseudoaneurysm at the arterial anastomosis of the transplanted kidney who require intravascular intervention.
作者
张鲲鹏
刘京礼
桑桂凤
杨牟
ZHANG Kunpeng;LIU Jingli;SANG Guifeng;YANG Mu(Department of Catheterization Room,The Affiliated Yantai Yuhuangding Hospital of Qingdao University,Yantai 264000,China)
出处
《青岛大学学报（医学版）》
2021年第5期773-776,共4页
Journal of Qingdao University(Medical Sciences)
基金
山东省卫生健康委员会发展计划项目(WS2019111)。
关键词
肾移植
动脉瘤
假性
血管造影术
数字减影
成像
三维
图像处理
计算机辅助
血管成形术
kidney transplantation
aneurysm,false
angiography,digital subtraction
imaging,three-dimensional
image processing,computer-assisted
angioplasty
