主动脉支架术后内漏CT诊断及分型课件整理

EndoleaksafterendovascularaorticStent-Grafting:CTdiagnosisLuoSongDepartmentofMedicalImaging,JinlingHospitalEndoleaksafterendovasculara1OutlineConceptandhistoryCauseImagingdiagnoseClassificationCTcharactersSummaryOutline2ConceptandhistoryIn1991.thefirstsuccessfulendovascularabdominalaorticrepair(EVAR)In1994.thefirstthoracicendovascularaortirepair(TEVARIn2019,Whitefirstsuggestedthatthisphenomenonofincompletebetweentheaorticwallandastent-graftresultinginparagraftflow"betermedendoleakConceptandhistory3ConceptandhistoryWhite'sgroupthensuggestedaclassificationnomenclaturebasedontimeandsiteofoccurrenceIn2019Whiteetalrevisedtheirendoleakclassificationschemeagaininto4distincttypesandanadditionaltype(endotension)Whiteetal.JENDOVASCSURG,2019Conceptandhistory4ConceptandhistoryEndotension:thereisdemonstrablepressurewithinasacbutnoendoleakidentifiedIn2019aconsensusconferencewasheldonendoleaksandendotensionafterEVARandaclassificationschemewasformalizedConceptandhistory5Descriptionendoleaks(type)sourceofperigraftflowAttachmentsiteleaksNatureandsignificanceofendoleaksandendographDistalendofendograendotension:SummaryofopinionsexpressedatanABCABinternationalconferenceIliacoccluder(plug)Branchleaks(withoutattachmentsite)haAdicahih,sD,ks5.HlaM.Firms,MD,GalleyGillingSeithconnection)Simpleorto-and-fro(fromonlyIpatentbranch)MtadsMamomJunPnbDGieAwitun.wD,uMMnComplexorflow-through(with2ormorepatentbranches)graftdefectJunctionalleakormodulardisconnectFabricdisruption(midgrafthole)Minor(<2mm;cg,sutureholes)VeithFJetal.JVascSurg2019Major(≥2mm)Graftwall(fabric)porosity(<30daysaftergraftEndotensioWithsealedendoleak(endoleak)WithtypeIIIWithtypeIIleakDescription6著编号:105.2800203.054.0景在平等,中国实胸主动脉夹层腔內隔绝术后内漏的分型及意义用外科杂志,2019景在平赵珺赵志青包俊敏冯翔陆清声叶必远图1近端大量内图5助间动脉反流图6移植物破裂11著7CauseProximalDistalStent-graftBranchvesselsCause8nicaaortic-relatedmortalityreoperationreinterventionIncidencerate:between12%and20%nica9ImagingdiagnoseCTDSAMRIUltrasoundImagingdiagnose10主动脉支架术后内漏CT诊断及分型课件整理11主动脉支架术后内漏CT诊断及分型课件整理12主动脉支架术后内漏CT诊断及分型课件整理13主动脉支架术后内漏CT诊断及分型课件整理14主动脉支架术后内漏CT诊断及分型课件整理15主动脉支架术后内漏CT诊断及分型课件整理16主动脉支架术后内漏CT诊断及分型课件整理17主动脉支架术后内漏CT诊断及分型课件整理18主动脉支架术后内漏CT诊断及分型课件整理19主动脉支架术后内漏CT诊断及分型课件整理20主动脉支架术后内漏CT诊断及分型课件整理21主动脉支架术后内漏CT诊断及分型课件整理22主动脉支架术后内漏CT诊断及分型课件整理23主动脉支架术后