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Quantitative flow velocity measurements in vessels aneurysms and arteriovenous malformations (AVMs) using droplet path tracing with a biplane pulsed fluoroscopy system

机译:血管动脉瘤和动静脉畸形(AVM)中的定量流速测量使用液滴路径跟踪与双脉冲脉冲透视系统

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Detailed blood flow patterns appear to have a substantial effect upon arterial disease and the outcome of interventional endovascular therapeutic procedures. First, a demonstration of the effect of a stent on eliminating vortex flow in an aneurysm model is given. Next, a method is presented to measure the detailed 3D flow during pulsatile flow in a phantom. Finally, the method is applied to arteriovenous malformations (AVMs). The method consists of the real-time radiographic tracking of contrast droplet paths with images from a biplane pulsed radiographic system used to derive the 3D particle location as a function of time. An example of droplet tracking in a sidewall aneurysm phantom is presented. The application of the method is already impacting the delineation of the detailed morphology and of flow characteristics of AVMs and the selection of transit times for endovascular occlusion of AVMs using cyanoacrylate in patients.
机译:详细的血流模式似乎对动脉疾病和介入血管内治疗程序的结果具有显着影响。首先,给出了支架对消除动脉瘤模型中涡流流动的效果的证明。接下来,提出一种方法来测量脉冲流动期间的详细的3D流量。最后,该方法应用于动脉畸形(AVM)。该方法包括与用于从用于推导3D粒子位置的双脉冲脉冲射线照相系统的图像的实时射线图跟踪,用于作为时间的函数导出3D粒子位置。介绍了侧壁动脉瘤模镜中的液滴跟踪的一个例子。该方法的应用已经影响了通过氰基丙烯酸酯在患者中划分AVM的详细形态和流动特征以及用于血管内闭塞的血管内闭塞的横跨次数。

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