Kraniale und zervikale arterielle Gefäßverletzungen: Bildgebung und Therapie

Zusammenfassung

Direkte oder indirekte Verletzungen der Kopf-Hals-Gefäße können infolge von Unfällen, durch Tumorarrosion oder sogar spontan entstehen. Moderne nichtinvasive neuroradiologische Verfahren wie CT- und MR-Angiographie ermöglichen es, eine Vielzahl dieser Läsionen nachzuweisen. Die Therapie solcher Gefäßverletzungen kann häufig endovaskulär erfolgen. Wir beschreiben in dieser Übersicht die neuroradiologischen Phänomene von zervikalen und kranialen Gefäßverletzungen und gehen auf endovaskuläre Behandlungsmöglichkeiten ein.

Abstract

Direct or indirect injury of craniocervical vessels may be the consequence of an accident, may result from tumor arrosion, or may even occur spontaneously. Many of these vascular lesions can be detected using modern non-invasive vascular imaging techniques such as CT angiography and MR angiography. These traumatic vascular lesions can usually be treated using endovascular techniques. This overview describes neuroradiological findings for traumatic lesions of cervical and cranial vessels as well as endovascular treatment options.

Key words

trauma - vascular - head/neck - interventional procedures - MR angiography - CT angiography

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