Современные возможности визуализации сосудистого повреждения при системных васкулитах крупных сосудов
Аннотация
Инструментальные методы визуализации сосудистого повреждения имеют ключевое значение для диагностики системных васкулитов (СВ) крупных сосудов, оценки эффективности лечения и раннего выявления рецидивов. Несмотря на стремительное развитие ревматологии с углублением представлений о патогенезе СВ, внедрением инновационных стратегий лечения и расширением методов диагностики, в настоящее время не существует универсального метода визуализации, который мог бы предоставить исчерпывающую информацию о состоянии крупных сосудов. Стандартизация инструментальных методов для оценки степени активности и диагностика рецидива относятся к ключевым нерешенным проблемам ведения пациентов с СВ крупных сосудов. В 2018 году были опубликованы рекомендации Европейской антиревматической лиги (EULAR, European League Against Rheumatism), осветившие широкий круг проблем визуализации поражения крупных сосудов при СВ, которые стали результатом систематизированного анализа современных научных достижений и клинического опыта. Целью данной публикации является обобщение современных возможностей инструментального обследования больных системными васкулитами крупных сосудов с общей характеристикой основных положений рекомендаций EULAR и обсуждением некоторых дискуссионных вопросов.
Об авторах
Т. В. Бекетова
ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»
Россия
Россия
Бекетова Татьяна Валентиновна
115522, Москва, Каширское шоссе, 34а
В. А. Зеленов
ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»
Россия
Россия
115522, Москва, Каширское шоссе, 34а
А. Е. Зотиков
ФГБУ «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Минздрава России
Россия
Россия
117997, Москва, ул. Большая Серпуховская, 27
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Рецензия
Для цитирования:
Бекетова Т.В., Зеленов В.А., Зотиков А.Е. Современные возможности визуализации сосудистого повреждения при системных васкулитах крупных сосудов. Научно-практическая ревматология. 2022;60(1):91-101. https://doi.org/10.47360/1995-4484-2022-91-101
For citation:
Beketova T.V., Zelenov V.А., Zotikov A.E. Current imaging techniques in large vessel vasculitis. Rheumatology Science and Practice. 2022;60(1):91-101. (In Russ.) https://doi.org/10.47360/1995-4484-2022-91-101
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