- 関
- aortography
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/03/15 21:48:48」(JST)
[Wiki en表示]
| Aortography |
| Intervention |
B. Translumbar aortography shows near-total obstruction of the femoral arteries in a patient with Monckeberg's arteriosclerosis. |
| ICD-9-CM |
88.42 |
| MeSH |
D001027 |
An aortogram involves placement of a catheter in the aorta and injection of contrast material while taking x-rays of the aorta. The procedure is known as aortography. The diagnosis of aortic dissection can be made by visualization of the intimal flap and flow of contrast material in both the true lumen and the false lumen.
The aortogram was previously considered the gold standard test for the diagnosis of aortic dissection, with a sensitivity of up to 88% and a specificity of about 94%. It is especially poor in the diagnosis of cases where the dissection is due to hemorrhage within the media without any initiating intimal tear.
The advantage of the aortogram in the diagnosis of aortic dissection is that it can delineate the extent of involvement of the aorta and branch vessels and can diagnose aortic insufficiency.
The disadvantages of the aortogram are that it is an invasive procedure and it requires the use of iodinated contrast material.
In modern medicine, it has been replaced by the diagnostic tools of MRI, CT, and transesophageal echocardiography(TEE) all of which have sensitivities that exceed 90%. TEE is favored in emergent situations, as it is relatively non-invasive and a rapid procedure (more so than MRI, which can takes hours). (references needed)
External links
- Aortography at the US National Library of Medicine Medical Subject Headings (MeSH)
|
Health science – Medicine · Surgery · Vascular surgery and other vascular procedures (ICD-9-CM V3 38–39, ICD-10-PCS 03–6)
|
|
Incision, excision,
and occlusion
of vessels |
Peripheral arterial occlusive disease: Balloon embolectomy · Thrombectomy
Carotid stenosis: Endarterectomy (Carotid endarterectomy)
Varicose veins: Ambulatory phlebectomy · Laser ablation · Sclerotherapy · Vein stripping
Venous cutdown
Temporal artery biopsy
Arteriotomy · Phlebotomy
|
|
Other operations
on vessels |
|
Shunt/bypass
|
Peripheral arterial occlusive disease: Peripheral arterial bypass surgery
Portal hypertension: Transjugular intrahepatic portosystemic shunt (TIPS) · Distal splenorenal shunt procedure
Vascular grafting (Human umbilical vein graft)
Blalock–Taussig shunt
|
|
|
Repair
|
Aortic aneurysm / dissection: Open AAA repair · Endoluminal AAA repair (EVAR)
Peripheral arterial occlusive disease: Angioplasty with/out Stenting
Atherectomy
|
|
|
Auxiliary to
heart surgery
|
Cardiopulmonary bypass · Cardioplegia · Extracorporeal membrane oxygenation
|
|
|
Other
|
Carotid stenosis: Carotid stenting
Hemodialysis/Hemofiltration · Revascularization
Glomectomy
|
|
|
| Medical imaging |
Angiography (Digital subtraction angiography, Cerebral angiography, Aortography, Fluorescein angiography, Radionuclide angiography, Magnetic resonance angiography)
Venography (Portography) · Impedance phlebography
Intravascular ultrasound · Carotid ultrasonography
|
|
| Other diagnostic |
Angioscopy · Ankle brachial pressure index · Tilt table test
|
|
|
|
anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
|
noco/syva/cong/lyvd/tumr, sysi/epon, injr
|
proc, drug (C2s+n/3/4/5/7/8/9)
|
|
|
|
|
Medical testing : Medical imaging · Radiology · (ICD-9-CM V3 87–88, ICD-10-PCS B, CPT 70010–79999)
|
|
X-ray/
medical radiography/
Industrial radiography |
|
2D
|
Medical: Pneumoencephalography · Dental radiography · Sialography · Myelography · CXR (Bronchography) · AXR / KUB · DXA/DXR · Upper gastrointestinal series/Small bowel follow-through/Lower gastrointestinal series · Cholangiography/Cholecystography · Mammography · Pyelogram · Cystography · Arthrogram · Hysterosalpingography · Skeletal survey · Angiography (Angiocardiography, Aortography) · Venography · Lymphogram
Industrial: Radiographic testing
|
|
|
3D / XCT
|
Medical: CT pulmonary angiogram · Cardiac CT · Abdominal and pelvic CT (Virtual colonoscopy) · CT angiography · CT head · pQCT · Spiral computed tomography · High resolution CT · Whole body imaging (Full-body CT scan) · Electron beam tomography
Industrial: Industrial CT Scanning
|
|
|
Other
|
Fluoroscopy
|
|
|
| MRI |
MRI of brain and brain stem · MR neurography · Cardiac MRI/Cardiac MRI perfusion · MR angiography · MR cholangiopancreatography · Breast MRI
Functional MRI · Diffusion MRI
|
|
| Ultrasound |
Echocardiography / Doppler echocardiography (TTE · TEE) · Intravascular · Gynecologic · Obstetric · Echoencephalography · Transcranial doppler · Abdominal ultrasonography · Transrectal · Breast ultrasound · Transscrotal ultrasound · Carotid ultrasonography
Contrast-enhanced · 3D ultrasound · Endoscopic ultrasound · Emergency ultrasound (FAST · Pre-hospital ultrasound) · Duplex
|
|
| Radionuclide |
|
2D / scintigraphy
|
Cholescintigraphy · Scintimammography · Ventilation/perfusion scan · Radionuclide ventriculography · Radionuclide angiography · Radioisotope renography · Sestamibi parathyroid scintigraphy · Radioactive iodine uptake test · Bone scintigraphy · Immunoscintigraphy
full body: Octreotide scan · Gallium 67 scan · Indium 111 WBC scan
|
|
|
3D / ECT
|
SPECT (gamma ray): SPECT of brain, Myocardial perfusion imaging
PET (positron): Brain PET, Cardiac PET, PET mammography, PET-CT
|
|
|
| Optical laser |
Optical tomography (Optical coherence tomography) · Confocal microscopy · Endomicroscopy
|
|
| Thermography |
Breast thermography
|
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
- 1. 大動脈解離の臨床症状および診断 clinical manifestations and diagnosis of aortic dissection
- 2. 腹部大動脈瘤破裂の外科的および血管内修復 surgical and endovascular repair of ruptured abdominal aortic aneurysm
- 3. 腹部大動脈の血管内修復装置 endovascular devices for abdominal aortic repair
- 4. 鈍的胸部大動脈損傷 blunt thoracic aortic injury
- 5. 経皮的肺動脈弁移植 percutaneous pulmonic valve implantation
English Journal
- Radiation exposure during uterine artery embolization: effective measures to minimize dose to the patient.
- Scheurig-Muenkler C1, Powerski MJ, Mueller JC, Kroencke TJ.
- Cardiovascular and interventional radiology.Cardiovasc Intervent Radiol.2015 Jun;38(3):613-22. doi: 10.1007/s00270-014-0962-6. Epub 2014 Aug 23.
- PURPOSE: Evaluation of patient radiation exposure during uterine artery embolization (UAE) and literature review to identify techniques minimizing required dose.METHODS: A total of 224 of all included 286 (78 %) women underwent UAE according to a standard UAE-protocol (bilateral UAE from unilateral
- PMID 25148920
- The "Duality" of Idiopathic Ventricular Arrhythmias from the Left Ventricular Ostium.
- Callans DJ1, Santangeli P1.
- Pacing and clinical electrophysiology : PACE.Pacing Clin Electrophysiol.2015 May 14. doi: 10.1111/pace.12657. [Epub ahead of print]
- In this issue of PACE, Wang and coworkers present an interesting retrospective analysis of a unique group of patients that yields insight about the complexity of ventricular arrhythmias that arise from the left ventricular (LV) ostium.1 They present the characteristics of 10 patients with premature
- PMID 25973736
- Left pulmonary artery originating from the right coronary artery in a patient with pulmonary atresia and ventricular septal defect.
- Ono M1, Dong W2, Kasnar-Samprec J2, Vogt MO3, Schreiber C2.
- The Annals of thoracic surgery.Ann Thorac Surg.2015 Apr;99(4):e95-6. doi: 10.1016/j.athoracsur.2014.12.086.
- We describe a patient with pulmonary atresia and ventricular septal defect in whom the left pulmonary artery was originating from the dilated right coronary artery. Successful division of the left pulmonary artery from the right coronary artery and the connection with the right ventricular outflow t
- PMID 25841860
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
- 左鎖骨下動脈閉塞に対する血行再建術を行った後に塞栓術を行った右椎骨動脈解離性動脈瘤破裂の1例
- 荒木 忍,藤田 隆史,川上 雅久
- 脳神経外科ジャーナル 18(2), 139-144, 2009-02-20
- 左鎖骨下動脈閉塞のため,右椎骨動脈から左鎖骨下動脈への盗血現象を伴った患者に発生した右椎骨動脈の解離性動脈瘤破裂を経験した.閉塞した鎖骨下動脈にステントを留置して左椎骨動脈の血流を再建した後に,患側椎骨動脈の塞栓術を行った.当院の3D-CT angiography(3D-CTA)では頭蓋内の情報しか得られず,当初は盗血現象や鎖骨下動脈閉塞を把握することができなかったが,血管撮影で病態を把握し対応す …
- NAID 110007046692
- Marked Annuloaortic Ectasia
- Fujioka Kazuki,Kawasaki Tatsuya,Kamitani Tadaaki,Sugihara Hiroki
- Internal Medicine 47(2), 121-121, 2008
- NAID 130000079620
Related Links
- a·or·to·gram (-ôr t-gr m) n. An image or set of images of the aorta made after the injection of a radiopaque substance. aortogram [ā·ôr′təgram] Etymology: Gk, aerein + gramma, record a radiographic image of the aorta made after the ...
- Aortogram definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now! Added to Favorites Dictionary Thesaurus Word Dynamo Quotes Reference Translator Spanish Log In n. ...
Related Pictures
★リンクテーブル★
[★]
- 英
- aortography、aortogram
- 関
- 大動脈造影法、大動脈造影図
[★]
- 英
- aortography、aortogram
- 関
- 大動脈造影、大動脈造影図
[★]
- 英
- aortogram
- 関
- 大動脈造影、大動脈造影法