表面辐射动脉患者的超声波诊断和评估
Tetsuya Uchino1, Masahiro Miura2, Shigekiyo Matsumoto1
1Department of Anesthesiology, Faculty of Medicine, Oita University, Oita, Japan.
The journal of vascular access
|July 13, 2023
概括
表面辐射动脉 (SRA) 是一种罕见的前臂异常. 在血管穿刺之前识别SRA对于安全的导管注射和防止IV线错位等并发症至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 表面辐射动脉 (SRA) 是前臂的一种罕见的先天性异常.
- 它可以通过各种医学成像和程序性发现偶然检测到.
- 存在SRA可能会导致并发症,例如药物的动脉内输注和放射性动脉导管治疗过程中的困难.
研究的目的:
- 调查表面辐射动脉 (SRA) 异常的发生率和特征.
- 评估SRA对血管接入程序的临床影响.
- 强调SRA手术前鉴定对患者安全的重要性.
主要方法:
- 在2016年12月至2020年7月期间,对30名偶然检测到异常放射性动脉分支的患者进行了回顾性分析.
- 使用超声波检查进行的诊断和评估.
- 评估包括确定SRA位置,与脑静脉的关系,以及血管直径测量.
主要成果:
- 所有确定的异常分支被确认为SRAs.
- 在右侧 (37%),左侧 (43%) 和双边 (20%) 发现了SRA.
- SRA通常靠近脑静脉,辐射动脉直径远距离SRA分叉明显较小.
结论:
- 表面放射性动脉 (SRA) 对血管通道构成风险,包括静脉导管的错位和放射性动脉导管的困难.
- 在SRA病例中,虚假正常的艾伦检测结果可能会发生.
- 建议通过成像对SRA进行手术前的鉴定,以确保在前臂进行安全的血管导管.
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