肺血管造影図

WordNet

an X-ray representation of blood vessels made after the injection of a radiopaque substance; "angiograms are produced by angiography"

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肺の;肺を冒す

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/04/23 10:32:39」(JST)

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Selective pulmonary angiogram revealing significant thrombus (labelled A) causing a central obstruction in the left main pulmonary artery

Pulmonary angiography (or pulmonary arteriography) is a cardiological medical procedure. Pulmonary blood vessels are x-rayed to detect arteriovenous malformations.

Direct angiography is the injection of radiocontrast into the circulation with subsequent fluoroscopy (direct X-ray visualisation) of the lungs. A more common form of direct angiography, is the catheterisation of the right atrium of the heart and injection of radiocontrast into the right heart.

A popular form of pulmonary angiography is computed tomography pulmonary angiography (CTPA). This involves venous contrast only.

Invasive pulmonary angiography was first performed in 1931 by Egas Moniz and colleagues.^[1] Robb and Steinberg described pulmonary angiography by infusion of peripheral radiocontrast.^[2]^[3]

References

^ Moniz E, Carvalho L, Lima A (1931). "Angiopneumographie". Presse Med 39: 996–99.
^ Robb GP, Steinberg I (1938). "A practical method of visualization of the chambers of the heart, the pulmonary circulation, and the great blood vessels in man". J Clin Invest 17: 507. doi:10.1172/JCI100977. PMC 434806.
^ http://books.google.co.uk/books?id=Mgl9G8oU1IkC&pg=PA566

External links

Referencing site for great detail on Pulmonary angiography Pulmonary angiography
"Pulmonary angiography" @ MedlinePlus Medical Encyclopedia

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1. 急性肺塞栓症の診断 diagnosis of acute pulmonary embolism
2. 肺動脈カテーテル法：適応および合併症 pulmonary artery catheterization indications and complications
3. 肺動静脈奇形：治療 pulmonary arteriovenous malformations treatment
4. 胸部CTの原理 principles of computed tomography of the chest
5. 肺動静脈奇形：診断的評価 pulmonary arteriovenous malformations diagnostic evaluation

English Journal

Renal Artery Stenosis.

Tafur-Soto JD1, White CJ2.
Cardiology clinics.Cardiol Clin.2015 Feb;33(1):59-73. doi: 10.1016/j.ccl.2014.09.006.
Atherosclerotic renal artery stenosis (RAS) is the single largest cause of secondary hypertension; it is associated with progressive renal insufficiency and causes cardiovascular complications such as refractory heart failure and flash pulmonary edema. Medical therapy, including risk factor modifica
PMID 25439331

Optimized Subtraction Coronary CT Angiography Protocol for Clinical Use with Short Breath-Holding Time-Initial Experience.

Kidoh M1, Utsunomiya D2, Oda S2, Yuki H2, Funama Y3, Namimoto T2, Yamamuro M4, Yamashita Y2.
Academic radiology.Acad Radiol.2015 Jan;22(1):117-20. doi: 10.1016/j.acra.2014.09.020.
RATIONALE AND OBJECTIVES: Subtraction coronary computed tomography (CT) angiography (CCTA), which enables the removal of calcium and coronary stents from CCTA images, has been clinically introduced on a second-generation 320-row CT scanner. However, this technique for clinical use is not optimized.
PMID 25481519

A case of painless acute Type-A thoracic aortic dissection.

Catlow J, Cross T.
Age and ageing.Age Ageing.2015 Jan;44(1):171-2. doi: 10.1093/ageing/afu114. Epub 2014 Aug 11.
We describe the case of an 83-year-old lady with a known aneurysmal thoracic aorta, developing acute breathlessness and hypoxia, with no pain and unremarkable cardiovascular examination. As d-dimers were raised, she was treated with low-molecular-weight heparin (LMWH) for suspected pulmonary embolis
PMID 25117175

Japanese Journal

内膜全周性断裂による flap suffocation を呈した Stanford A 型急性大動脈解離の1手術例

佐藤浩之,山内英智,山下知剛,松居喜郎
日本心臓血管外科学会雑誌 42(4), 302-306, 2013
'flap suffocation'は，冠動脈近傍に生じた内膜の全周性断裂により，解離した内膜がflap状となり，間欠的に冠動脈口を閉塞し，心筋虚血を惹起する病態で，冠動脈虚血を呈する急性A型解離のうちでもまれなものと考えられる．症例は52歳の男性である．就業中に胸背部の激痛を自覚し当院に救急搬送された．心電図上広範なST低下を認め，左冠動脈主幹部を責任病変とした急性心筋梗塞を疑われ循環器科で緊急 …
NAID 130004548470

肺動静脈瘻コイル塞栓術後遠隔期に他肺動静脈瘻の増大および治療後病変の再疎通を認めた1例

笠井大,佐藤崇翔,笠原靖紀,杉浦寿彦,東出高至,須田理香,加藤史照,竹内孝夫,坂尾誠一郎,田邉信宏,巽浩一郎
脈管学 53(August), 121-125, 2013
要　旨：症例は42歳女性。1994年右S3，左S10肺動静脈瘻の診断にて左S10肺動静脈瘻に対しコイル塞栓術を行った。2010年9月造影CTで右S3肺動静脈瘻の増大を認め，左S10肺動静脈瘻も再疎通が疑われた。2011年9月右S3肺動静脈瘻に対してコイル塞栓術を施行し，左肺動脈造影で左S10肺動静脈瘻の再疎通を認めた。肺動静脈瘻は長期経過で増大や再疎通を認めることがあり，長期的な評価が必要である。
NAID 130003378861

微小血管の閉塞による僧帽弁乳頭筋断裂の1治験例

津田和政,小出昌秋,國井佳文,渡邊一正,宮入聡嗣
日本心臓血管外科学会雑誌 41(5), 280-283, 2012
乳頭筋断裂は急性心筋梗塞後の重篤な合併症として知られる．今回われわれは，冠動脈に有意狭窄を認めない乳頭筋断裂を経験した．稀な症例であるため報告する．症例は77歳男性．急性心不全，心原性ショックにて搬送され，緊急心臓カテーテル検査を行うも，冠動脈に有意狭窄を認めなかった．右心カテデータと心エコーより急性僧帽弁閉鎖不全症と診断し，大動脈内バルーンパンピング，経皮的心肺補助導入後に緊急手術を施行した．後 …
NAID 130004548406