目的:比较分析CT血管成像(CTA)与数字减影血管造影(DSA)检查自发性蛛网膜下腔出血的结果。方法:回顾性选取2019年10月—2020年10月本院自发性蛛网膜下腔出血患者160例,均接受C T A与D S A检查,对比C T A与D S A检查自发性蛛网膜下腔出...目的:比较分析CT血管成像(CTA)与数字减影血管造影(DSA)检查自发性蛛网膜下腔出血的结果。方法:回顾性选取2019年10月—2020年10月本院自发性蛛网膜下腔出血患者160例,均接受C T A与D S A检查,对比C T A与D S A检查自发性蛛网膜下腔出血的结果,统计分析CTA与DSA检查自发性蛛网膜下腔出血动脉瘤直径、动脉瘤口直径的结果、图像质量。结果:160例患者中,CTA检查阳性59例,阴性101例;DSA检查阳性61例,阴性99例。与DSA检查对比,CTA检查的敏感度为95.1%(58/61),特异度为99.0%(98/99),准确度为97.5%(156/160),阳性预测值为98.3%(58/59),阴性预测值为97.0%(98/101)。C T A与D S A检查自发性蛛网膜下腔出血动脉瘤直径、动脉瘤口直径之间的差异均不显著(P>0.05)。C T A与D S A检查自发性蛛网膜下腔出血的图像质量优良率98.8%(158/160)、97.5%(156/160)之间的差异不显著(P>0.05)。结论:CTA与DSA检查自发性蛛网膜下腔出血的结果类似。展开更多
Background: The purpose of this study was to assess the overall short-term outcome of stent-graft repair for thoracic aortic disease in France between June 1999 and May 2001. Methods: This retrospective study was desi...Background: The purpose of this study was to assess the overall short-term outcome of stent-graft repair for thoracic aortic disease in France between June 1999 and May 2001. Methods: This retrospective study was designed by the French National Health Insurance Fund for Salaried Workers. To ensure objectivity, data were retrieved at each center and checked by a team of medical advisors. Results: Between June 1999 and May 2001, a total of 166 stent-graft repairs for thoracic aortic disease were performed in 166 patients, mainly by surgeons in the operating room(88% ). Patients were classified according to the American Society of Anesthesiologists as status I or II in 24% of cases, status III in 56% , and status IV or V in 20% . The diameter of the thoracic aneurysm was less than 50 mm in 17% of cases. Seventeen patients(10% ) died during the first 3 months, including 8 within the first 30 days after the procedure. A total of 49 complications were noted in 34 patients(20.5% ). Endoleaks occurred in 27 patients(16.3% ), including 8 that necessitated further treatment. Other stent-related complications included rupture(n=3), aortoesophageal or tracheal fistula(n=3), paraplegia(n=6), stent migration(n=2), visceral embolism(n=5), and cerebral embolism(n=2). There were 14 delivery-related complications(8% ) at the catheterization site. Non-stent- related complications occurred in 14(8% ). Conclusions: This nationwide study demonstrates that stent-graft repair for thoracic aortic disease can be performed with acceptable postoperative morbidity. However, it is not a risk-free procedure and should continue to be used in an investigative setting.展开更多
文摘目的:比较分析CT血管成像(CTA)与数字减影血管造影(DSA)检查自发性蛛网膜下腔出血的结果。方法:回顾性选取2019年10月—2020年10月本院自发性蛛网膜下腔出血患者160例,均接受C T A与D S A检查,对比C T A与D S A检查自发性蛛网膜下腔出血的结果,统计分析CTA与DSA检查自发性蛛网膜下腔出血动脉瘤直径、动脉瘤口直径的结果、图像质量。结果:160例患者中,CTA检查阳性59例,阴性101例;DSA检查阳性61例,阴性99例。与DSA检查对比,CTA检查的敏感度为95.1%(58/61),特异度为99.0%(98/99),准确度为97.5%(156/160),阳性预测值为98.3%(58/59),阴性预测值为97.0%(98/101)。C T A与D S A检查自发性蛛网膜下腔出血动脉瘤直径、动脉瘤口直径之间的差异均不显著(P>0.05)。C T A与D S A检查自发性蛛网膜下腔出血的图像质量优良率98.8%(158/160)、97.5%(156/160)之间的差异不显著(P>0.05)。结论:CTA与DSA检查自发性蛛网膜下腔出血的结果类似。
文摘Background: The purpose of this study was to assess the overall short-term outcome of stent-graft repair for thoracic aortic disease in France between June 1999 and May 2001. Methods: This retrospective study was designed by the French National Health Insurance Fund for Salaried Workers. To ensure objectivity, data were retrieved at each center and checked by a team of medical advisors. Results: Between June 1999 and May 2001, a total of 166 stent-graft repairs for thoracic aortic disease were performed in 166 patients, mainly by surgeons in the operating room(88% ). Patients were classified according to the American Society of Anesthesiologists as status I or II in 24% of cases, status III in 56% , and status IV or V in 20% . The diameter of the thoracic aneurysm was less than 50 mm in 17% of cases. Seventeen patients(10% ) died during the first 3 months, including 8 within the first 30 days after the procedure. A total of 49 complications were noted in 34 patients(20.5% ). Endoleaks occurred in 27 patients(16.3% ), including 8 that necessitated further treatment. Other stent-related complications included rupture(n=3), aortoesophageal or tracheal fistula(n=3), paraplegia(n=6), stent migration(n=2), visceral embolism(n=5), and cerebral embolism(n=2). There were 14 delivery-related complications(8% ) at the catheterization site. Non-stent- related complications occurred in 14(8% ). Conclusions: This nationwide study demonstrates that stent-graft repair for thoracic aortic disease can be performed with acceptable postoperative morbidity. However, it is not a risk-free procedure and should continue to be used in an investigative setting.
