Kulkarni Suyash S, Shetty Nitin S, Dharia Tejas P, Polnaya Ashwin M
Department of Radiodiagnosis, Tata Memorial Centre, Parel, Mumbai, India.
Indian J Radiol Imaging. 2012 Oct;22(4):350-7. doi: 10.4103/0971-3026.111490.
Medicine is an ever changing field and interventional radiology (IR) procedures are becoming increasingly popular because of high efficacy and its minimally invasive nature of the procedure. Management of disease processes in the extra cranial head and neck (ECHN) has always been a challenge due to the complex anatomy of the region. Cross sectional imaging of the ECHN has grown and evolved tremendously and occupies a pivotal and integral position in the clinical management of variety of head and neck pathologies. Advances in angiographic technologies including flat panel detector systems, biplane, and 3-dimensional rotational angiography have consolidated and expanded the role of IR in the management of various ECHN pathologies. The ECHN is at cross roads between the origins of great vessels and the cerebral vasculature. Thorough knowledge of functional and technical aspects of neuroangiography is essential before embarking on head and neck vascular interventions. The vessels of the head and neck can be involved by infectious and inflammatory conditions, get irradiated during radiotherapy and injured due to trauma or iatrogenic cause. The ECHN is also a common site for various hypervascular neoplasms and vascular malformations, which can be treated with endovascular and percutaneous embolization. This pictorial essay provides a review of variety of ECHN pathologies which were managed by various IR procedures using different approaches.
医学是一个不断变化的领域,介入放射学(IR)程序因其高效性和微创性而越来越受欢迎。由于颅外头颈部(ECHN)区域解剖结构复杂,该区域疾病过程的管理一直是一项挑战。ECHN的横断面成像有了巨大的发展和演变,在各种头颈部疾病的临床管理中占据着关键且不可或缺的地位。包括平板探测器系统、双平面和三维旋转血管造影在内的血管造影技术的进步巩固并扩大了IR在各种ECHN疾病管理中的作用。ECHN位于大血管起源与脑血管系统的交叉点。在进行头颈部血管介入之前,全面了解神经血管造影的功能和技术方面至关重要。头颈部血管可能会受到感染和炎症性疾病的影响,在放疗期间受到辐射,并因外伤或医源性原因而受损。ECHN也是各种高血管性肿瘤和血管畸形的常见部位,可通过血管内和经皮栓塞进行治疗。这篇图文并茂的文章综述了通过各种IR程序采用不同方法管理的各种ECHN疾病。