미세수술을 이용한 하지의 재건시 삼차원 컴퓨터 혈관조영술의 유용성

Usefullness with 3D CT Angiography in Microsurgical Reconstruction

  • 성용덕 (영남대학교 의과대학 성형외과학교실) ;
  • 김효헌 (영남대학교 의과대학 성형외과학교실)
  • Sung, Yong Duck (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Hyo Heon (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University)
  • 투고 : 2005.11.09
  • 발행 : 2006.03.10

초록

Preoperative angiography is frequently used in the planning of microsurgical reconstruction for identification of vascular abnormality that influence the planning of operation. But, recently 3D CT angiography is considered as new technique that can provide detailed information about vascular anatomy as well as soft and bony tissue without the risks of invasive angiography. 3D CT angiograms were performed in 19 patients before microsurgical reconstruction for the lower extremity and hand between May of 2003 and Oct of 2004. Sixteen of the studies were of the donor site and all of 19 studies were of the recipient site. No complications were found from the 3D CT angiograms. In one case of the bone exposed open wound, the injury of anterior tibial artery was identified and the zone of injury was adequately demonstrated. With the improvement in quality of CT imaging, 3D CT angiograms may provide a favorable alternative to invasive angiography. It is capable of providing high-resolution, three dimensional vascular imaging without the need for arterial puncture and prolonged post-procedure observation. The relation among blood vessels, bones, and soft tissue is well demonstrated in 3D CT angiogram. Also The acquisition time and examination cost were considerably lower in comparison with invasive angiography. In conclusion, this study demonstrates that 3D CT angiography may provide accurate, safe, and cost-effective preoperative imaging. The 3D CT angiography with relatively low morbidity, low cost, ease of image acquisition can have an broader role in microsurgical reconstructive surgery.

키워드

참고문헌

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