Invisible Active Bleeding Due to the Watershed Phenomenon

IF 2 4区 医学 Q4 Medicine Journal of the Belgian Society of Radiology Pub Date : 2024-05-23 DOI:10.5334/jbsr.3604
Miloud Dewilde, Birgitt Janssens
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引用次数: 0

Abstract

A case is presented of an 83-year-old female patient with a strong suspicion of active bleeding, but no diagnostic contrast blush could be seen on the original computed tomography (CT) scan. Teaching point: When performing CT angiography in veno-arterial extracorporeal membrane oxygenation (VA-ECMO), it is important to understand the altered haemodynamics, as flow-related artefacts such as the vascular watershed phenomenon can obscure bleeding.
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分水岭现象导致的隐形主动出血
本文介绍了一例 83 岁女性患者的病例,她强烈怀疑有活动性出血,但在原始计算机断层扫描(CT)中却看不到可诊断的对比剂红斑。教学要点:在进行静脉-动脉体外膜氧合(VA-ECMO)CT 血管造影时,了解血液动力学的改变非常重要,因为与血流相关的伪影(如血管分水岭现象)可能会掩盖出血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of the Belgian Society of Radiology
Journal of the Belgian Society of Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.60
自引率
5.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.
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