CAJ | 학술논문

消化道出血是常见病多发病。但是部分消化道出血诊断困难，胃镜、肠镜反复检查不能明确出血部位和原因，传统肠系膜血管造影也不能确立病因。激惹性肠系膜动脉造影术（provocative mesenteric angiography，PMA）是在血管造影时使用抗凝溶栓等药物诱发出血，增加造影的阳性率，在反复隐匿性消化道出血方面尤其有用。本文综述了PMA的临床应用现状，其定义、适应证、禁忌证、具体方法及应用前景。
소화도출혈시상견병다발병。단시부분소화도출혈진단곤난，위경、장경반복검사불능명학출혈부위화원인，전통장계막혈관조영야불능학립병인。격야성장계막동맥조영술（provocative mesenteric angiography，PMA）시재혈관조영시사용항응용전등약물유발출혈，증가조영적양성솔，재반복은닉성소화도출혈방면우기유용。본문종술료PMA적림상응용현상，기정의、괄응증、금기증、구체방법급응용전경。
Gastrointestinal bleeding is a common disorder in daily practice. However, it is difficult to diagnose in some challenging cases. Even repeat gastroscopy, enteroscopy can not demonstrate the site and cause of bleeding, tradition mesenteric angiography can't find the etiology also. Provocative mesenteric angiography (PMA) is a method that using anticoagulant or thrombolytics to induce bleeding when performing the conventional angiography, which may improve the detection sensitivity, especially in case of recurrent occult gastrointestinal hemorrhage. In this article, the definition, indications, contraindications, procedure details as well as future clinical applications of PMA were comprehensively reviewed.