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心脏移植术后三维CT成像的临床研究 被引量：1

Three-dimensional CT findings of the transplanted heart
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摘要 心脏移植是目前治疗终末期心脏病的惟一理想方法,而其中移植心脏血管病变（cardiac allgraft vasculopathy,CAV）是心脏移植术后最难处理的并发症之一[1].因移植心脏处于去神经状态,故患者心肌缺血或心肌梗死相关的心绞痛症状不明显,所以每年均需做血管造影随访或心肌活检等.常规冠状动脉造影（CCA）是诊断冠状动脉病变的金指标,但属于有创检查、价格昂贵,反复检查不易为患者接受,而且已被证明对CAV的敏感性低[2].笔者应用64层MSCT对11例心脏移植术后的患者进行检查,探讨其对移植心脏病变的显示及临床诊断价值.
作者 蔡国祥 张平 廖崇先 梁昆如 段少银
机构地区 厦门大学附属中山医院影像科 厦门大学附属中山医院心脏中心
出处 《中华放射学杂志》 CAS CSCD 北大核心 2010年第10期1100-1102,共3页 Chinese Journal of Radiology
基金 厦门市医药卫生科研基金项目（WSK0622）
关键词 心脏移植术后 三维CT成像 临床研究 临床诊断价值 心脏血管病变 冠状动脉病变 冠状动脉造影 有创检查
分类号 R686 [医药卫生—骨科学]
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参考文献10

  • 1Stork S,Behr TM,Birk M,et al.Assessment of cardiac allograft vasulopathy late after heart transplantation:when is coronary angiography necessary? J Heart Lung Transplant,2006,25:1103-1108.
  • 2刘素堂,李东野,夏勇,李绍东,李江山,王志荣,张延斌,张超群,施裕新,徐凯.16层CT冠状动脉成像最佳R-R时相初探[J].中国医学计算机成像杂志,2007,13(1):21-25. 被引量：7
  • 3王新房,张青萍.中华影像医学超卢诊断学卷.北京:人民卫生出版社,2004:167-168.
  • 4于德新,马祥兴,王茜,王青,崔凤玉.双源CT成人正常心脏结构的测量及瓣膜的显示[J].实用放射学杂志,2009,25(2):172-175. 被引量：4
  • 5WallerJ,Brook NR,Nicholson ML.Cardiac allograft vasculopathy:current concepts and treatment.Transplant Int,2003,16:367-375.
  • 6Gregory SA,Ferencik M,Achenbach S,et al.Comparision of sixtyfour-slice multidetecter computed tomographic coronary angiography to coronary angiography with intravascular ultrasound for the detection of transplant vasculopathy.Am J cardiol,2006,98:877-884.
  • 7Bhatia SJ,Kirshenbaum JM,Shemin RJ,et al.Time course of resolution of pulmonary hypertension and right ventricular remodeling after orthotopic cardiac transplantation.Circulation,1987,76:819-826.
  • 8Bogot NR,Durst R,Shaham D,et al.Cardiac CT of the transplanted heart:indications,technique,appearance,and complications.Radiographics,2007,27:1297-1309.
  • 9Romeo G,Houye L,Angel CY,et al.Coronary stenosis detection by 16-slice computed tomography in heart transplant patients:comparison with conventional angiography and impact on clinical management.J Am Coll Cardiol,2005,45:1826-1831.
  • 10王锡明,武乐斌,李振家,柳澄,陈海松.64层螺旋CT在冠状动脉造影中的应用[J].中华放射学杂志,2005,39(11):1201-1204. 被引量：150

二级参考文献20

共引文献158

同被引文献19

  • 1Johnson MR, Meyer KH, Haft J, et al. Heart transplantation in the United States, 1999-2008[ J]. Am J Transplant, 2010,10(4 pt 2) :1035-1046.
  • 2Stehlik J, Edwards LB, Kucheryavaya AY, et al. The Registry of the Interna- tional Society for Heart and Lung Transplantation: Twenty-eighth Adult Heart Transplant Report - 2011 [ J ]. J Heart Lung Transplant, 2011,30 ( 10 ) : 1078 - 1094.
  • 3Mastrobuoni S, Bastarrika G, Ubilla M, et al. Dual-source CT coronary anglo- gram in heart transplant recipients in comparison with dobutamine stress echo- cardiography for detection of cardiac allograft vasculopathy [ J ]. Transplantation, 2009,87(4) :587-590.
  • 4Estep JD, Shah D J, Nagueh SF, et 81. The role of multimodality cardiac ima- ging in the transplanted heart [ J ]. JACC Cardiovasc Imaging, 2009,2 ( 9 ) : 1126-1140.
  • 5Ballesteros Pradas SM, Romero Rodriguez N, Lage Galle E, et al. Cardiac al- lograft vasculopathy: coronary-computed tomography and virtual histology assess- ment[J].Transplant Proc,2010,42(8) :3175-3177.
  • 6Bogot NR, Durst R, Shaham D, et al. Cardiac CT of the transplanted heart : in- dications, technique, appearance, and complications [ J ]. Radiographics, 2007,27 ( 5 ) : 1297 -1309.
  • 7Schepis T, Achenbach S, Weyand M, et al. Comparison of dual source compu- ted tomography versus intravascular ultrasound for evaluation of coronary arteries at least one year after cardiac transplantation [ J ]. Am J Cardiol, 2009, 104(10) :1351-1356.
  • 8Sigurdsson G, Catrascosa P, Yamani MH, et al. Detection of transplant coronary artery disease using multidetector computed tomo~'aphy with adaptative multiseg- ment reconatmction[J].J Am Coil Cardiol, 2006,48(4) :772-778.
  • 9Gregory SA, Ferencik M, Achenbaeh S, et al. Comparison of sixty-four-slice multidetector computed tomographie coronary angiograpky to coronary anglogra- phy with intmvascular ultrasound for the detection of transplant vasculopathy [J]. Am J Cardiul, 2006,98(7) :877-884.
  • 10Rohnean A, Houyel L, Sigal-Cinqualbre A, et al. Heart transplant patient out- comes: 5-year mean follow-up by coronary computed tomography angiography [J]. Transplantation. 2011091(5) :583-588.

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中华放射学杂志
2010年 第10期

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