지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.4
- 수록면
- 292 - 298 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: We performed this study to assess the suitability of conventional angiography (CA) vs. multi-detector row helical CT angiogram (MD-CTA) as a method of preoperative diagnostic imaging for low extremity arterial surgery.
Methods: From February 2004 to September 2006, 23 patients (4 claudicants, 19 limb-threatening ischemia) were studied with CA and MD-CTA preoperatively. The site and degree of stenotic or occlusive lesions in arterial segments from the renal artery to the dorsalis pedis artery were compared with both methods. We also compared the surgical inflow and outflow site changes in preoperative planning based on CA and MD-CTA and the final outcome. Additional diagnostic value and test-related complications were also analyzed.
Results: The median age of patients was 68 years old (range: 43∼89 years), with a male to female ratio of 1.3:1. Twenty-three patients had CA after an MD-CTA scan. One hundred fifty lesions were detected in these patients. The total ratio of consistency for occlusion in CA vs. MD-CTA was 69.6%. Three patients received amputation treatment and eleven patients received a bypass operation. The agree ment between the preoperative plan based on MD-CTA and the final operation was 100%, even in critical limb ischemia. There were no serious complications related to the tests.
Conclusion: These findings suggest that MD-CTA is an adequate preoperative imaging study of infrainguinal arterial surgery and may be substituted for conventional angiography without any serious complications.
Methods: From February 2004 to September 2006, 23 patients (4 claudicants, 19 limb-threatening ischemia) were studied with CA and MD-CTA preoperatively. The site and degree of stenotic or occlusive lesions in arterial segments from the renal artery to the dorsalis pedis artery were compared with both methods. We also compared the surgical inflow and outflow site changes in preoperative planning based on CA and MD-CTA and the final outcome. Additional diagnostic value and test-related complications were also analyzed.
Results: The median age of patients was 68 years old (range: 43∼89 years), with a male to female ratio of 1.3:1. Twenty-three patients had CA after an MD-CTA scan. One hundred fifty lesions were detected in these patients. The total ratio of consistency for occlusion in CA vs. MD-CTA was 69.6%. Three patients received amputation treatment and eleven patients received a bypass operation. The agree ment between the preoperative plan based on MD-CTA and the final operation was 100%, even in critical limb ischemia. There were no serious complications related to the tests.
Conclusion: These findings suggest that MD-CTA is an adequate preoperative imaging study of infrainguinal arterial surgery and may be substituted for conventional angiography without any serious complications.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Park SJ / 1997 / The usefulness of three-dimensional spiral ct angiography in the evaluation of atherosclerotic diseases the arteries of the lower extremity / J Korean Radiol Soc 36 : 217 ~ 222
2. [학술지(정기간행물)] - Kim ES / 1992 / Clinical study of buerger's disease, based on angiogram / J Korean Radiol Soc 43 : 258 ~ 265
3. [학술지(정기간행물)] - Seldinger SI / 1953 / Catheter replacement of the needle in percutaneuos arteriography / A new technigue. Acta Radiol 39 : 368 ~ 376
4. [학술지(정기간행물)] - Adams DF / 1979 / Complications of coronary arteriography: a follow-up report / Cardiovasc Radiol 2 : 89 ~ 96
5. [학술지(정기간행물)] - Babu SC / 1989 / Incidence and results of arterial complications among 16,350 patients undergoing cardiac catheterization / J Vasc Surg 10 : 113 ~ 116
2. [학술지(정기간행물)] - Kim ES / 1992 / Clinical study of buerger's disease, based on angiogram / J Korean Radiol Soc 43 : 258 ~ 265
3. [학술지(정기간행물)] - Seldinger SI / 1953 / Catheter replacement of the needle in percutaneuos arteriography / A new technigue. Acta Radiol 39 : 368 ~ 376
4. [학술지(정기간행물)] - Adams DF / 1979 / Complications of coronary arteriography: a follow-up report / Cardiovasc Radiol 2 : 89 ~ 96
5. [학술지(정기간행물)] - Babu SC / 1989 / Incidence and results of arterial complications among 16,350 patients undergoing cardiac catheterization / J Vasc Surg 10 : 113 ~ 116
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UCI(KEPA) : I410-ECN-0101-2013-514-002693363