非闭塞性肠系膜缺血:介入放射科医师综述。

Hiroshi Kawada, Shoma Nagata, Yoshifumi Noda, Nobuyuki Kawai, Tomohiro Ando, Tetsuro Kaga, Taketo Suto, Hiroshi Kondo, Masayuki Matsuo
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引用次数: 0

摘要

非闭塞性肠系膜缺血(NOMI)是一种以肠系膜段性或不连续性肠系膜缺血和肠坏死为特征的疾病,肠系膜血管无器质性阻塞。诊断具有挑战性,早期干预对于改善患者预后至关重要。各种因素,如背景因素、症状、生物标志物和成像技术有助于诊断。确保早期诊断和及时治疗至关重要。虽然有研究报道了动脉内血管扩张剂输注治疗作为血管内治疗的有效性,但其未来的作用仍不确定。因此,本综述主要旨在全面总结NOMI管理现状的进展,并特别强调血管内治疗的实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nonocclusive Mesenteric Ischemia: A Review for Interventional Radiologists.

Nonocclusive mesenteric ischemia (NOMI) is a condition characterized by segmental or discontinuous mesenteric ischemia and intestinal necrosis without an organic obstruction in the mesenteric vessels. Diagnosis is challenging, and early intervention is crucial for improving patient outcomes. Various factors such as background factors, symptoms, biomarkers, and imaging techniques contribute to the diagnosis. Ensuring an early diagnosis and prompt treatment is of paramount importance. Although studies reported on the effectiveness of intra-arterial vasodilator infusion therapy as an endovascular treatment, its future role remains uncertain. Therefore, this review primarily aimed to provide a comprehensive summary of the advancements in the current state of NOMI management, with a specific emphasis on the implementation of endovascular therapy.

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