320排动态容积CT对左心室静脉系统的评价

张闯, 秦崇, 袁小东, 全昌斌, 乔远罡, 敖国昆, 唐发宽, 单兆亮

张闯, 秦崇, 袁小东, 全昌斌, 乔远罡, 敖国昆, 唐发宽, 单兆亮. 320排动态容积CT对左心室静脉系统的评价[J]. 解放军医学院学报, 2012, 33(6): 607-609.
引用本文: 张闯, 秦崇, 袁小东, 全昌斌, 乔远罡, 敖国昆, 唐发宽, 单兆亮. 320排动态容积CT对左心室静脉系统的评价[J]. 解放军医学院学报, 2012, 33(6): 607-609.
ZHANG Chuang, QIN Chong, YUAN Xiao-dong, QUAN Chang-bin, QIAO Yuan-gang, AO Guo-kun, TANG Fa-kuan, DAN Zhao-liang. Evaluation of left ventricular venous system with 320-slice dynamic volume computed tomography[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(6): 607-609.
Citation: ZHANG Chuang, QIN Chong, YUAN Xiao-dong, QUAN Chang-bin, QIAO Yuan-gang, AO Guo-kun, TANG Fa-kuan, DAN Zhao-liang. Evaluation of left ventricular venous system with 320-slice dynamic volume computed tomography[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(6): 607-609.

320排动态容积CT对左心室静脉系统的评价

详细信息
    作者简介:

    张闯,男,在读硕士。研究方向:心脏病介入治疗。Email:zcctx2003@yahoo.com.cn

    通讯作者:

    单兆亮,男,博士,主任医师,副教授,硕士生导师。Email:shanzl301@sina.com

  • 中图分类号: R 445

Evaluation of left ventricular venous system with 320-slice dynamic volume computed tomography

  • 摘要: 目的 应用320排动态容积CT对左心室静脉系统进行评价,以指导心脏再同步治疗(CRT)中左心室电极的植入。 方法 对110例行冠状动脉检查的患者同时进行冠状静脉系统重建,重建时相在体表心电图RR间期的30%-80%。其中男性40例,女性70例,年龄(57.9±10.8)岁。 结果 所有患者均可清晰显示心脏静脉系统,91.2%的患者在30%-50%的RR间期得到最佳成像效果;在CRT最常用的靶静脉(心后侧静脉和心侧静脉),单支靶静脉缺如合并另一支细小的占23.6%-26.4%,双支均缺如占5.5%。 结论 320排动态容积CT可以提供清晰的心脏静脉系统影像,特别是可以对CRT最常用的靶静脉进行系统评价,帮助指导CRT左室电极的植入。
    Abstract: Objective To facilitate the implantation of left ventricular(LV) lead in cardiac resynchronization therapy(CRT) by evaluating the LV venous system with 320-slice dynamic volume computed tomography(CT). Methods The LV venous system was reconstructed in 110 patients with coronary heart disease(40 males and 70 females) at the age of 57.9±10.8 years during which the R–R interval of body surface ECG was 30%-80%. Results The LV venous system was clearly observed in all patients.The best imaging was achieved in 91.2% of the patients when the R–R interval of body surface ECG was 30%-50%.One of the 2 most frequently used target veins(postero-lateral vein and lateral vein) in CRT was not found in 23.6%-26.4% of the patients,while both of them were not be observed in 5.5% of the patients. Conclusion 320-slice dynamic volume CT can clearly show the LV venous system and evaluate the most frequently used target veins in CRT,thus contributing to the implantation of LV lead during CRT.
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出版历程
  • 收稿日期:  2011-12-30
  • 修回日期:  2012-01-29
  • 网络出版日期:  2023-11-27
  • 刊出日期:  2012-06-27

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