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Aktuelle Bildgebung der Aorta

State-of-the-art aortic imaging

  • CME Weiterbildung • Zertifizierte Fortbildung
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Zusammenfassung

Die aktuelle Bildgebung der Aorta hat in den letzten Jahren an Vielfalt und Qualität gewonnen. Neben der Verifizierung und Dokumentation einer klinischen Verdachtsdiagnose stellt sie die Grundlage für die Indikationsstellung, die Wahl des Therapieverfahrens (konservativ, operativ, interventionell), die Therapieplanung und die Nachsorge dar. Neben der B-Mode- und der Duplexsonographie sowie der transösophagealen Echokardiographie (TEE) spielen heute v. a. die kontrastmittelunterstützten Schnittbildverfahren, die Computertomographie (CT) mit der Option zur CT-Angiographie (CTA) und die Magnetresonanztomographie (MRT) mit der Option der MR-Angiographie (MRA) eine wesentliche Rolle. Der folgende Beitrag beschreibt aus Sicht des Radiologen in einer Klinik der Maximalversorgung die Möglichkeiten der CTA und MRA für die Abklärung aortaler Pathologien.

Abstract

Current imaging of the aorta saw an improvement in terms of diversity and quality in recent years. In addition to verifying and documenting a clinical suspicion, it provides the basis for establishing an indication, choosing a therapy (conservative, surgical, interventional), as well as therapy planning and follow-up. Besides B-mode and duplex sonography, as well as transesophageal echocardiography (TEE), contrast-enhanced cross-sectional imaging, computer tomography (CT), with the option for CT angiography (CTA), and magnetic resonance tomography (MRT), with the option for MR angiography (MRA), play a significant role. The present article describes the possibilities offered by CTA and MRA for the diagnosis of aortic pathologies from the point of view of the radiologist in a maximum care hospital.

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Authors and Affiliations

  1. Radiologie – E010, Deutsches Krebsforschungszentrum (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Deutschland

    H. von Tengg-Kobligk, V. Hankel & F. Rengier

  2. Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    T.F. Weber, S. Ley, F. Rengier & H.-U. Kauczor

  3. Klinik für Gefäßchirurgie, Vaskuläre und Endovaskuläre Chirurgie, Chirurgische Universitätsklinik Heidelberg, Heidelberg, Deutschland

    D. Kotelis & D. Böckler

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  1. H. von Tengg-Kobligk
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  2. T.F. Weber
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  3. S. Ley
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  4. V. Hankel
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  5. F. Rengier
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  6. D. Kotelis
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  7. D. Böckler
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  8. H.-U. Kauczor
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Correspondence to H. von Tengg-Kobligk.

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von Tengg-Kobligk, H., Weber, T., Ley, S. et al. Aktuelle Bildgebung der Aorta. Gefässchirurgie 14, 143–157 (2009). https://doi.org/10.1007/s00772-009-0681-5

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