Herter M, Harder T, Leipner N, Krahe T, Orellano L
Rofo. 1987 Aug;147(2):124-31. doi: 10.1055/s-2008-1048606.
The authors report on 32 patients with dissecting aneurysm examined via computed tomography, 21 of whom were also additionally examined by means of angiography. Whereas CT with contrast medium bolus resulted in a diagnosis in dissecting aneurysm in all the cases, aortography failed in 2 patients because of a thrombosed dissection. Aortography offers clear advantages over CT, besides better spatial representation, in respect of clarification as to which aortic branches are involved, especially in the region of the aortic arch. On the other hand, the advantages of CT are lower invasiveness, high sensibility and the possibility of including concomitant complications when establishing the diagnosis.
作者报告了32例经计算机断层扫描检查的夹层动脉瘤患者，其中21例还额外接受了血管造影检查。尽管静脉注射造影剂的CT在所有病例中都能诊断出夹层动脉瘤，但有2例患者因夹层血栓形成导致主动脉造影检查失败。除了更好的空间显示外，主动脉造影在明确哪些主动脉分支受累方面，尤其是在主动脉弓区域，比CT具有明显优势。另一方面，CT的优势在于侵入性较低、敏感性高，以及在确立诊断时能够纳入伴随的并发症。
