Carette M F, Parrot A, Fartoukh M, Tassart M, Khalil A
Service de Radiologie, APHP, Hôpital Tenon, 4, rue de la Chine, 75970 Paris cedex 20, France.
J Radiol. 2009 Nov;90(11 Pt 2):1789-800. doi: 10.1016/s0221-0363(09)73283-4.
In most cases, treatment of life-threatening hemoptysis requires systemic arterial embolization, bronchial or not. Knowledge of the normal and pathological features of this systemic arterial network as depicted on multidetector row CTA, is an essential key because this examination has become the main imaging study prior to any interventional procedure. This article will review the indications for chest CTA, technical considerations and protocol in the evaluation of the systemic pulmonary circulation, as well as the imaging features of this circulation with emphasis on the normal and pathological imaging features to better correlate with the clinical presentation.
在大多数情况下,危及生命的咯血治疗需要进行全身动脉栓塞,无论是否涉及支气管。了解多排螺旋CT所显示的该全身动脉网络的正常和病理特征至关重要,因为这项检查已成为任何介入手术前的主要影像学研究。本文将综述胸部CTA的适应证、评估体肺循环时的技术考量和方案,以及该循环的影像学特征,重点是正常和病理影像学特征,以便更好地与临床表现相关联。