ISSN 1671-5411 CN 11-5329/R
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 Geriatr Cardiol 2011; 8(4): 224-229. doi: 10.3724/SP.J.1263.2011.00224
Citation: 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 Geriatr Cardiol 2011; 8(4): 224-229. doi: 10.3724/SP.J.1263.2011.00224

The potential value of intravascular ultrasound imaging in diagnosis of aortic intramural hematoma

doi: 10.3724/SP.J.1263.2011.00224
  • Received Date: 2011-05-01
  • 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.
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      沈阳化工大学材料科学与工程学院 沈阳 110142

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