Section of Cardiovascular Medicine, Department of Internal Medicine, Yale New Haven Health Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610, USA.
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA; Center for Outcomes Research and Evaluation, Yale New Haven Hospital, 195 Church Street, 6th Floor, New Haven, CT 06510, USA.
Interv Cardiol Clin. 2023 Jul;12(3):299-307. doi: 10.1016/j.iccl.2023.03.002. Epub 2023 Apr 21.
Invasive or selective pulmonary angiography has historically been used as the gold standard diagnostic test for the evaluation of a wide array of pulmonary arterial conditions, most commonly pulmonary thromboembolic diseases. With the emergence of various noninvasive imaging modalities, the role of invasive pulmonary angiography is shifting to the assistance of advanced pharmacomechanical therapies for such conditions. Components of invasive pulmonary angiography methodology include optimal patient positioning, vascular access, catheter selections, angiographic positioning, contrast settings, and recognition of angiographic patterns of common thromboembolic and nonthromboembolic conditions. We review the pulmonary vascular anatomy, step-by-step performance, and interpretation of invasive pulmonary angiography.
传统上，侵袭性或选择性肺动脉造影一直被用作广泛的肺动脉疾病评估的金标准诊断测试，最常见的是肺血栓栓塞性疾病。随着各种非侵入性成像方式的出现，侵袭性肺动脉造影的作用正在转向为这些疾病的先进药物机械治疗提供帮助。侵袭性肺动脉造影方法学的组成部分包括患者的最佳体位、血管通路、导管选择、造影定位、造影剂设置以及常见血栓栓塞和非血栓栓塞性疾病的造影模式的识别。我们回顾了肺动脉血管解剖、侵袭性肺动脉造影的逐步操作和解读。
