Genovese Eugenio Annibale, Fonio Paolo, Floridi Chiara, Macchi Monica, Maccaferri Anna, Ianora Antonio Amato Stabile, Cagini Lucio, Carrafiello Gianpaolo
Department of Radiology, University of Insubria, Varese, Italy.
Crit Ultrasound J. 2013 Jul 15;5 Suppl 1(Suppl 1):S10. doi: 10.1186/2036-7902-5-S1-S10.
Acute vascular emergencies can arise from direct traumatic injury to the vessel or be spontaneous (non-traumatic).The vascular injuries can also be divided into two categories: arteial injury and venous injury.Most of them are life-treatening emergencies, sice they may cause an important ipovolemic shock or severe ischemia in their end organ and require prompt diagnosis and treatment.In the different clinical scenarios, the correct diagnostic approach to vascular injuries isn't firmly established and advantages of one imaging technique over the other are not obvious.Ultrasound (US) is an easy accessible, safe and non-invasive diagnostic modality but Computed Tomography (CT) with multiphasic imaging study is an accurate modality to evaluate the abdominal vascular injuries therefore can be considered the primary imaging modality in vascular emergencies.The aim of this review article is to illustrate the different imaging options for the diagnosis of abdominal vascular emergencies, including traumatic and non traumatic vessel injuries, focusing of US and CT modalities.
急性血管急症可由血管直接外伤引起,也可为自发性(非外伤性)。血管损伤也可分为两类:动脉损伤和静脉损伤。它们大多是危及生命的急症,因为它们可能导致重要的低血容量性休克或其终末器官的严重缺血,需要及时诊断和治疗。在不同的临床情况下,针对血管损伤的正确诊断方法尚未完全确立,一种成像技术相对于另一种成像技术的优势并不明显。超声(US)是一种易于获得、安全且无创的诊断方式,但多期成像研究的计算机断层扫描(CT)是评估腹部血管损伤的准确方式,因此可被视为血管急症的主要成像方式。本文综述的目的是阐述用于诊断腹部血管急症的不同成像选择,包括外伤性和非外伤性血管损伤,重点介绍超声和CT方式。