Kirby John M, Vora Parag, Midia Mehran, Rawlinson John
McMaster University Medical Center, 1200 Main Street West, Hamilton, Ontario, L8N 3Z5, Canada.
Cardiovasc Intervent Radiol. 2008 Sep-Oct;31(5):957-70. doi: 10.1007/s00270-007-9138-y. Epub 2007 Aug 7.
The objective of this study was to highlight technical challenges and potential pitfalls of diagnostic imaging, intervention, and postintervention follow-up of vascular complications of pancreatitis. Diagnostic and interventional radiology imaging from patients with pancreatitis from 2002 to 2006 was reviewed. We conclude that biphasic CT is the diagnostic modality of choice. Catheter angiography may (still) be required to diagnose small pseudoaneurysms. Endovascular coiling is the treatment of choice for pseudoaneurysms. Close clinical follow-up is required, as patients may rebleed/develop aneurysms elsewhere.
本研究的目的是强调胰腺炎血管并发症的诊断性成像、干预措施以及干预后随访中的技术挑战和潜在陷阱。回顾了2002年至2006年胰腺炎患者的诊断性和介入性放射学成像。我们得出结论,双期CT是首选的诊断方式。诊断小的假性动脉瘤可能(仍然)需要导管血管造影。血管内栓塞是假性动脉瘤的首选治疗方法。由于患者可能再次出血/在其他部位形成动脉瘤,因此需要密切的临床随访。