Uyeda Jennifer W, Anderson Stephan W, Sakai Osamu, Soto Jorge A
Boston Medical Center, Boston, MA 02118, USA.
Radiol Clin North Am. 2010 Mar;48(2):423-38, ix-x. doi: 10.1016/j.rcl.2010.02.003.
Rapid assessment and diagnosis of traumatic arterial injuries are critical in the evaluation of acutely injured patients. CT angiograms (CTAs) have become common imaging methods in busy trauma centers. CTA has largely replaced digital subtraction angiography because of its speed, noninvasive nature, accuracy, and widespread availability. This article reviews the current use of multidetector CTA in trauma with attention to technique and protocol considerations, illustrates findings of many commonly encountered injuries, and discusses the clinical implications of vascular trauma throughout the body.
创伤性动脉损伤的快速评估和诊断在急性受伤患者的评估中至关重要。CT血管造影(CTA)已成为繁忙创伤中心常用的成像方法。由于其速度快、无创性、准确性和广泛可用性,CTA在很大程度上已取代了数字减影血管造影。本文回顾了多排CTA在创伤中的当前应用,关注技术和方案考量,阐述许多常见损伤的表现,并讨论全身血管创伤的临床意义。