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在血液透析患者的计算机断层扫描动脉静脉囊图上持续的中间动脉
Qiao Xin Tee1, Stephen Stuckey2, Kenneth K Lau1,3,4
1Monash Imaging, Monash Health, Clayton, Victoria, Australia.
Journal of medical imaging and radiation oncology
|June 5, 2023
概括
持久性中枢动脉 (PMA) 是一种常见的解剖变异,在超过一半的接受CT fistulograms的患者中发现. 它的患病率在年轻人中增加,这表明这种血管异常的潜在增加.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 尸体研究表明,持续中枢动脉 (PMA) 的患病率正在上升.
- PMA是一种解剖变异,具有潜在的临床意义.
研究的目的:
- 为了确定血液透析患者中PMA的患病率,口径和来源.
- 通过计算机断层扫描 (CTF) 来评估PMA的存在.
主要方法:
- 成年患者接受上肢CTF的回顾性横截面研究 (2006-2021年).
- 包括前臂的CTF来识别PMA与中枢神经一起.
- 记录患者的人口统计,PMA存在,大小和来源.
主要成果:
- 在170个CTF中的53.5%中检测到PMA.
- 患病率随着年龄的降低而增加 (在50岁以下的人群中占67%).
- 平均PMA直径为近距离2.2毫米,远距离1.8毫米,没有观察到狭窄.
结论:
- PMA是一种常见的解剖变异,在年轻人群中患病率增加.
- 放射科医生应该在前臂血管评估中识别PMA.
- 进一步的研究可能会探索PMA在血管接入和旁路移植中的实用性.
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