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假性动脉瘤的诊断与管理:最新进展

Diagnosis and management of pseudoaneurysms: an update.

作者信息

Kapoor Baljendra S, Haddad Heather L, Saddekni Souheil, Lockhart Mark E

机构信息

Department of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249-6830, USA.

出版信息

Curr Probl Diagn Radiol. 2009 Jul-Aug;38(4):170-88. doi: 10.1067/j.cpradiol.2008.11.001.

Abstract

"Pseudoaneurysm" is a term that describes disruption of an artery with patent flow in a defined space beyond the confines of the vessels. A pseudoaneurysm can involve any vascular bed and is usually associated with direct arterial injury or erosion of an artery by an adjacent tumor or inflammation. In this article, we discuss different clinical settings and various imaging modalities such as ultrasound, computerized tomography, magnetic resonance imaging, as well as conventional angiography used for the diagnosis of pseudoaneurysms. We also describe the role of newer endovascular, percutaneous, and traditional surgical approaches for the treatment of visceral and peripheral pseudoaneurysms in different clinical circumstances.

摘要

“假性动脉瘤”是一个描述动脉破裂,血液在血管范围之外的特定空间内仍保持通畅流动的术语。假性动脉瘤可累及任何血管床,通常与动脉直接损伤或相邻肿瘤或炎症对动脉的侵蚀有关。在本文中,我们讨论了不同的临床情况以及用于诊断假性动脉瘤的各种成像方式,如超声、计算机断层扫描、磁共振成像以及传统血管造影。我们还描述了在不同临床情况下,新型血管内、经皮和传统手术方法在治疗内脏和周围假性动脉瘤中的作用。

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