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体外膜肺氧合治疗中头部的CT血管造影

CT Angiography of the Head in Extracorporeal Membrane Oxygenation.

作者信息

Acharya J, Rajamohan A G, Skalski M R, Law M, Kim P, Gibbs W

机构信息

From the Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

AJNR Am J Neuroradiol. 2017 Apr;38(4):773-776. doi: 10.3174/ajnr.A5060. Epub 2017 Jan 5.

DOI:10.3174/ajnr.A5060
PMID:28057636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7960255/
Abstract

Extracorporeal membrane oxygenation is an artificial cardiopulmonary bypass technique used to support patients with severe pulmonary failure or both pulmonary and cardiac failure. The hemodynamic changes produced by extracorporeal membrane oxygenation affect the appearance of CTA of the head images, often confounding interpretation if the correct history and understanding of extracorporeal membrane oxygenation are not known. This technical report describes the principles of extracorporeal membrane oxygenation, techniques to optimize intracranial CTA imaging, and pitfalls.

摘要

体外膜肺氧合是一种人工心肺旁路技术,用于支持患有严重肺衰竭或心肺功能衰竭的患者。体外膜肺氧合所产生的血流动力学变化会影响头部CTA图像的表现,如果不了解体外膜肺氧合的正确病史和相关知识,常常会使图像解读产生混淆。本技术报告描述了体外膜肺氧合的原理、优化颅内CTA成像的技术以及相关陷阱。

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本文引用的文献

1
Diffuse cerebral microbleeds after extracorporeal membrane oxygenation support.体外膜肺氧合支持后弥漫性脑微出血
Am J Respir Crit Care Med. 2015 Mar 1;191(5):594-6. doi: 10.1164/rccm.201411-2118LE.
2
Imaging adults on extracorporeal membrane oxygenation (ECMO).对接受体外膜肺氧合(ECMO)治疗的成人进行成像检查。
Insights Imaging. 2014 Dec;5(6):731-42. doi: 10.1007/s13244-014-0357-x. Epub 2014 Oct 9.
3
Multislice CT scans in patients on extracorporeal membrane oxygenation: emphasis on hemodynamic changes and imaging pitfalls.体外膜肺氧合患者的多层螺旋CT扫描:重点关注血流动力学变化及影像陷阱
Korean J Radiol. 2014 May-Jun;15(3):322-9. doi: 10.3348/kjr.2014.15.3.322. Epub 2014 Apr 29.
4
The role of echocardiography in the management of patients supported by extracorporeal membrane oxygenation.超声心动图在体外膜肺氧合支持患者管理中的作用。
J Am Soc Echocardiogr. 2012 Feb;25(2):131-41. doi: 10.1016/j.echo.2011.11.009. Epub 2011 Dec 9.
5
Extracorporeal membrane oxygenation for ARDS in adults.体外膜肺氧合在成人急性呼吸窘迫综合征中的应用。
N Engl J Med. 2011 Nov 17;365(20):1905-14. doi: 10.1056/NEJMct1103720.
6
Neurological injury in adults treated with extracorporeal membrane oxygenation.接受体外膜肺氧合治疗的成人的神经损伤
Arch Neurol. 2011 Dec;68(12):1543-9. doi: 10.1001/archneurol.2011.209. Epub 2011 Aug 8.
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J Cardiothorac Vasc Anesth. 2009 Dec;23(6):886-92. doi: 10.1053/j.jvca.2009.08.006.
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J Thorac Cardiovasc Surg. 1973 May;65(5):825-9.