McCarthy E, Little M, Briggs J, Sutcliffe J, Tapping C R, Patel R, Bratby M J, Uberoi R
Oxford University Hospitals, Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.
Oxford University Hospitals, Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, UK.
Clin Radiol. 2015 Jul;70(7):698-705. doi: 10.1016/j.crad.2015.02.012. Epub 2015 Mar 23.
This review focuses on the radiology of mesenteric ischaemia. Covering the acute and chronic presentations, both of which result from impaired vascularisation of the gastrointestinal tract, we evaluate the role of radiographs, ultrasound, CT, MRI, and catheter angiography in the diagnosis of these conditions. Looking to the future, we also assess some of the emerging imaging techniques. Across medicine and surgery there has been a significant shift towards minimally invasive interventions. Although percutaneous revascularisation of chronic mesenteric ischaemia has been performed for some time, there has been a developing trend for the use of such techniques in acute mesenteric ischaemia. We evaluate the available evidence for the use of these percutaneous interventions and assess how they compare with or in some instances compliment traditional surgical alternatives.
本综述聚焦于肠系膜缺血的放射学。涵盖急性和慢性表现，这两种情况均由胃肠道血管化受损所致，我们评估了X线平片、超声、CT、MRI和导管血管造影在这些病症诊断中的作用。展望未来，我们还评估了一些新兴的成像技术。在医学和外科领域，已经出现了向微创干预的重大转变。虽然慢性肠系膜缺血的经皮血管重建术已经开展了一段时间，但在急性肠系膜缺血中使用此类技术的趋势也在不断发展。我们评估了使用这些经皮干预措施的现有证据，并评估它们与传统手术替代方案相比如何，或在某些情况下如何相辅相成。
