vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2022.3.CLIN.1vmireaviz-460Research ArticleКлиническая медицинаClinical medicineРоль компьютерной томографии в диагностике мальперфузионного синдрома при остром расслоении аорты (обзор литературы)The role of computed tomography in the diagnosis of malperfusion syndrome in acute aortic dissection (literature review)https://orcid.org/0000-0002-1708-6870НунаеваА. М.NunaevaA. M.

Нунаева Аминат Майрбековна, врач-рентгенолог, аспирант

Москва

Moscow

anunaeva@mail.ruhttps://orcid.org/0000-0001-6893-7973ЗабавскаяО. А.ZabavskayaO. A.

Забавская Ольга Александровна, кандидат медицинских наук, научный сотрудник отделения лучевой диагностики

Москва

Moscow

zabavskaya_olga@mail.ruhttps://orcid.org/0000-0002-5430-8524МуслимовР. Ш.MuslimovR. Sh.

Муслимов Рустам Шахисмаилович, кандидат медицинских наук, врач рентгенолог, ведущий научный сотрудник отделения лучевой диагностики

Москва

Moscow

abaevr@mail.ruhttps://orcid.org/0000-0002-6299-4077ХамидоваЛ. Т.KhamidovaL. T.

Хамидова Лайла Тимарбековна, доктор медицинских наук, заведующий научным отделением лучевой диагностики

Москва

Moscow

ayla72@mail.ruhttps://orcid.org/0000-0002-3167-3692КоковЛ. С.KokovL. S.

Коков Леонид Сергеевич, доктор медицинских наук, профессор, член-корреспондент РАН, лауреат Премии Правительства РФ в области науки и техники

Москва

Moscow

lskokov@mail.ruНаучно-исследовательский институт скорой помощи им. Н.В. Склифосовского; Первый Московский медицинский университет им. И.М. Сеченова (Сеченовский Университет)РоссияSklifosovsky Research and Clinical Institute for Emergency Medicine; I.M. Sechenov First Moscow State Medical University (Sechenov University)Russian FederationНаучно-исследовательский институт скорой помощи им. Н.В. СклифосовскогоРоссияSklifosovsky Research and Clinical Institute for Emergency MedicineRussian Federation2022270420221234959Copyright © Нунаева А.М., Забавская О.А., Муслимов Р.Ш., Хамидова Л.Т., Коков Л.С., 20222022Нунаева А.М., Забавская О.А., Муслимов Р.Ш., Хамидова Л.Т., Коков Л.С.Nunaeva A.M., Zabavskaya O.A., Muslimov R.S., Khamidova L.T., Kokov L.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/460

Своевременная диагностика и лечение пациентов с острым расслоением аорты продолжают оставаться одной из наиболее важных и обсуждаемых проблем неотложной медицины. Благодаря точной диагностике и эффективному хирургическому подходу результаты вмешательств по поводу острого расслоения аорты улучшились, как минимум, в специализированных центрах. Однако для пациентов, страдающих мальперфузией на фоне острого расслоения, прогноз в ряде случаев остается неблагоприятным. Причиной мальперфузии может послужить стеноз либо окклюзия магистральных ветвей аорты, которые могут быть выявлены с помощью компьютерно-томографической аортографии (КТ-АГ). На сегодняшний день она является методом выбора в диагностике не только острого расслоения аорты, но и его осложнений, в том числе мальперфузионных. Целью данного обзора литературы является анализ возможностей КТ-АГ в выявлении стенозов различного типа, возникающих вследствие перехода расслоения на магистральные ветви аорты, а также собственно проявлений мальперфузии в органах и тканях при остром расслоении аорты по данным различных авторов.

Timely diagnosis and treatment of patients with acute aortic dissection continues to be one of the most important and discussed problems in emergency medicine. Due to accurate diagnosis and an effective surgical approach, the results of interventions for acute aortic dissection have improved, at least in specialized centers. However, for patients suffering from malperfusion against the background of acute dissection, the prognosis in some cases remains unfavorable. The cause of malperfusion can be stenosis or occlusion of the main branches of the aorta, which can be detected using computed tomography aortography (CT-AG). Today, it is the method of choice in the diagnosis of not only acute aortic dissection, but also its complications, including malperfusion ones. The purpose of this article is to analyze the capabilities of CT-AG in detecting various types of stenosis arising in the transition of dissection to the main branches of the aorta, as well as the actual manifestations of malperfusion in organs and tissues in acute aortic dissection, according to various authors.

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The authors declare that there are no conflicts of interest present.