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脾动脉假性动脉瘤:CT血管造影在诊断及治疗规划中的作用

Splenic Artery Pseudoaneurysms: The Role of ce-CT for Diagnosis and Treatment Planning.

作者信息

Corvino Fabio, Giurazza Francesco, Ierardi Anna Maria, Lucatelli Pierleone, Basile Antonello, Corvino Antonio, Niola Raffaella

机构信息

Department of Vascular and Interventional Radiology, Cardarelli Hospital, 80131 Naples, Italy.

Radiology Department, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy.

出版信息

Diagnostics (Basel). 2022 Apr 17;12(4):1012. doi: 10.3390/diagnostics12041012.

Abstract

Splenic artery pseudoaneurysm (PSA) is a contained vascular wall lesion associated with a high mortality rate, generally related to pancreatitis, trauma, malignancy, iatrogenic injury, and segmental arterial mediolysis. Computed tomography angiography allows us to visualize the vascular anatomy, differentiate a PSA from an aneurysm, and provide adequate information for endovascular/surgical treatment. The present review reports on the main state-of-the-art splenic artery PSA diagnosis, differentiating between the pros and cons of the imaging methods and about the endovascular treatment.

摘要

脾动脉假性动脉瘤(PSA)是一种局限性血管壁病变,死亡率较高,通常与胰腺炎、创伤、恶性肿瘤、医源性损伤和节段性动脉中层溶解有关。计算机断层扫描血管造影术使我们能够可视化血管解剖结构,区分PSA与动脉瘤,并为血管内/手术治疗提供充分信息。本综述报告了脾动脉PSA诊断的主要最新进展,区分了成像方法的优缺点以及血管内治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5832/9024490/221658cd8476/diagnostics-12-01012-g001.jpg

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