Experimental Study of Multi-slice Spiral CT Evaluation of Acute Mesenteric Ischemia Severity
10.3969/j.issn.1005-5185.2010.01.018
- VernacularTitle:多层螺旋CT评价急性肠系膜缺血严重性的实验研究
- Author:
Zhiwen MA
;
Xuehong WANG
;
Yulin JIA
;
Xue HAN
- Publication Type:Journal Article
- Keywords:
mesenteric ischemia;
tomography,spiral computed;
angiography;
models,animal
- From:
Chinese Journal of Medical Imaging
2010;(1):55-58
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To investigate the association of multi-slice spiral CT (MSCT) appearances and ischemia time as well as ischemia degree through both unenhanced and contrast-enhanced MSCT scans, then to investigate the value of MSCT in diagnosing acute mesenteric ischemia (AMI) by comparing the MSCT findings with pathologic examinations after establishing canine's AMI model. Materials and Methods 18 healthy hybrid canines were successfully punctured into the right femoral artery through seldinger's technique and injected absolute ethanol into the distal branches of superior mesenteric artery (SMA) for embolization via a 5F Cobra catheter. All experimental canines were underwent both unenhanced MSCT and enhanced CT scans no matter before nor after embolization. Every 3 canines were put to death randly each hour and ischemia bowel biopsies were examined. Results The AMI's models were suceessfully established in all 18 canines. The MSCT appearances were not same in different periods. Mesenteric stranding, bowel-wall thickening and luminal dilatation occurred in early periods and ascites, intramural gas and portal venous gas occurred lately. The contrast-enhanced degrees of abnormal bowel walls after embolization were declined than that of preoperation. The canines of three-hour to six-hour ischemia groups developed microscopic and gross changes of bowel ischemia. Conclusion MSCT can make the diagnosis of AMI accurately and the appearances of CT were gradually more variety along with the ischemia time longer. The contrast-enhanced degrees of abnormal bowel walls were negative correlation with ischemia time as well as ischemia degree.
