コントラスト外周フレボグラフィーと肺血管グラフィーは,血栓塞栓症の診断のためのものです
1Department of Radiology, University of Washington, Seattle, WA 98195, USA. tandrews@u.washington.edu
Circulation
|March 31, 2004
まとめ
静脈性または肺性血栓栓塞栓症の診断の標準であった直接血管内コントラスト血管図は,侵襲的である. 現在,より侵襲性の少ない方法が好まれているが,他の技術が失敗したとき,断定的な診断のためにカテーテルベースの血管図は依然として不可欠である.
科学分野:
- メディカルイマージング (医学イメージング)
- 放射線学 放射線学
- 血管医学 血管医学とは
背景:
- 直接血管内コントラスト血管図は,歴史的に静脈性または肺動脈性動脈血栓栓塞栓症の診断の黄金基準でした.
- 従来の血管造影は侵襲的で,フレビチスや血栓形成などのリスクを持ち,専門的な専門知識と機器を必要とします.
研究 の 目的:
- 静脈性血栓塞栓性疾患のコントラスト血管撮影の徴候,技術,および解釈をレビューする.
- 血栓栓塞栓症の診断方法の進化について概要を述べる.
主な方法:
- コンタストアニオグラフィーにおける既定および現在の実践のレビュー.
- 侵襲的なカテーテルベースの血管図から,侵襲的でないイメージング方式への移行について議論.
主要な成果:
- 侵襲性の少ないテクニックは,使いやすさとアクセシビリティにより,従来の血管撮影を大きく置き換えました.
- カテーテルベースのコントラスト血管撮影は,複雑なまたは不確実な症例の最終的な診断に不可欠です.
結論:
- 現在,侵襲性の少ない方法が標準となっているが,コントラストアニオグラフィーを理解することは,静脈性血栓塞栓性疾患の管理に不可欠である.
- このレビューは,特定の診断シナリオにおける血管撮影の役割が減少しているものの,継続していることを強調しています.
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