老年心脏病学杂志（英文版）Issue(4)：224-229,6.DOI:10.3724/SP.J.1263.2011.00224
The potential value of intravascular ultrasound imaging in diagnosis of aortic intramural hematoma
The potential value of intravascular ultrasound imaging in diagnosis of aortic intramural hematoma
Wei Hu 1Francois Schiele 2Nicolas Meneveau 2Marie-France Seronde 2Pierre Legalery 2Jean-Francois Bonneville 3Sidney Chocron 4Jean-Pierre Bassand2
作者信息
- 1. Department of Cardiology, Min Hang District Central Hospital, Shanghai 201100, China
- 2. Department of Cardiology, University Hospital Jean Minjoz, Besan(c)on 25000, France
- 3. Department of Radiology, University Hospital Jean Minjoz, Besan(c)on 25000, France
- 4. Department of Cardiac Surgery, University Hospital Jean Minjoz, Besan(c)on 25000, France
- 折叠
摘要
Abstract
Objective To evaluate the potential value of intravascular ultrasound (IVUS) imaging in the diagnosis of aortic intramural hematoma (AIH).Methods From September 2002 to May 2005,a consecutive series of 15 patients with suspected aortic dissection (AD) underwent both IVUS imaging and spiral computed tomography (CT).Six patients diagnosed as acute type B AIH by CT or IVUS composed the present study group.Results The study group consisted of five males and one female with mean age of 66 years old.All of them had chest or back pain.In one patient,CT omitted a localized AIH and an associated penetrating atherosclerotic ulcer (PAU),which were detected by IVUS.In another patient,CT mistaken a partly thrombosed false lumen as an AIH,whereas IVUS detected a subtle intimal tear and slow moving blood in the false lumen.In the four rest patients,both CT and IVUS made the diagnosis of AIH,however,IVUS detected three PAUs in three of them,only one of them was also detected by CT,and two of them escaped initial CT and were confirmed by follow up CT or magnetic resonance imaging.Conclusions IVUS imaging is a safe examination and has high accuracy in the diagnosis of AIH,particularly for diagnosing localized AIH,distinguishing AIH with thrombosed classic AD and detecting accompanied small PAUs.关键词
intravascular ultrasound/ diagnosis/ aortic intramural hematomKey words
intravascular ultrasound/ diagnosis/ aortic intramural hematom引用本文复制引用
Wei Hu,Francois Schiele,Nicolas Meneveau,Marie-France Seronde,Pierre Legalery,Jean-Francois Bonneville,Sidney Chocron,Jean-Pierre Bassand..The potential value of intravascular ultrasound imaging in diagnosis of aortic intramural hematoma[J].老年心脏病学杂志（英文版）,2011,(4):224-229,6.
