三种内乳动脉造影方法比较(附180例结果分析)  

Comparison of three techniques of left internal mammary artery angiography (Results of 180 cases)

作　　者：夏勇[1] 李东野[1] 潘德峰[1] 钱文浩[1] 李文华[1] 郝湛军[1] 

机构地区：[1]徐州医学院附属医院心内科,221002

出　　处：《心肺血管病杂志》2003年第1期20-22,共3页Journal of Cardiovascular and Pulmonary Diseases

基　　金：江苏省卫生厅重点科研项目 (H980 9);江苏省应用基础研究资助课题 (BJ2 0 0 0 0 5 9)

摘　　要：目的 :研究内乳动脉 (IMA)造影三种方法并分析其结果。方法 :180例冠状动脉造影 (CAG)患者接受主动脉弓数字减影血管造影 (AAG) ,其中 4例左锁骨下动脉 (SCA)狭窄 ,选择 176例AAG中IMA显影不满意的 5 6例先行左上肢加压SCA造影 (SCAG)后行IMA直接造影 (IMAG)。结果 :1 IMAG成功率低于AAG和SCAG[88% (49 5 6 )vs 10 0 % (180 180 ) ]和 10 0 % (5 6 5 6 ) ,P <0 0 5 ];IMAG和SCAG造影满意率高于AAG[10 0 % (49 4 9)和 91% (5 1 5 6 )vs 6 8% (12 0 176 ) ,P <0 0 1]。 2 造影结果 :12例IMA近端有较大分支 (6 8% ) ,6例明显迂曲 (3 4 % ) ,10例血管纤细 (5 7% ) ,3例血管狭窄 (1 7% )。结论 :CAG时应常规行AAG。Objective:To study three different technique of the left internal mammary artery (LIMA) angiography and analysis the angiographic results.Method:Aortic arch of digital subtraction angiography was performed following coronary angiography (CAG) in 180 cases and occlusion or stenosis of left subclavian artery was found in 4 cases (2\^2%).56 cases with undesirable LIMA angiogram were undergone both selective and semiselective LIMA angiography.Result:1.The semiselective technique for visualizing LIMA is significantly faster and as reliable as the standard selective technique.2.The LIMA angiography results shown large proximal branches of the LIMA in 12/176(6 8%),tortuosity in 6/176(3 4%),fine(defined as≤1 5 mm diameter) in 10/176(5 7%),atherosclerotic lesions (defined as≥30% diameter stenosis) in 3/176(1 7%).Conclusion:LIMA angiography should be routinely performed after CAG to identify above abnormalities which determine the planning and the therapeatic effect of coronary bypass treatment.

关 键 词：内乳动脉造影术 比较 冠状动脉造影术 冠状动脉旁路移植术 冠心病 主动脉弓数字减影血管造影术 

分 类 号：R654.2[医药卫生—外科学]