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使用还是不使用? 在上腺静脉采样中量化微导管使用的好处
Lisa Liu1, Leigh Casadaban1, Alexandria Jensen2
1Division of Vascular and Interventional Radiology, University of Colorado School of Medicine, Aurora, Colorado.
Journal of vascular and interventional radiology : JVIR
|July 17, 2023
概括
微导管可以提高上腺静脉采样过程中的选择性,但不能提高充分性. 常规使用微导管可能会增加右上腺出血的风险,尽管选择性得到改善.
科学领域:
- 内分泌学 在内分泌学.
- 干预性放射学 干预性放射学
背景情况:
- 上腺静脉采样 (AVS) 对于诊断过高阿尔多斯特症至关重要.
- 技术困难可能导致采样成功率较低.
- 建议使用微导管来提高AVS的充足性.
研究的目的:
- 评估微导管使用对AVS选择性和充分性的影响.
- 评估在AVS中使用微导管的安全性.
主要方法:
- 从2014年到2021年,对92个AVS程序进行了回顾性审查.
- 使用和不使用微导管的结果的比较.
- 选择性指数,充足率和并发症率的分析.
主要成果:
- 微导管的使用显著增加了双边平均选择性指数.
- 在微导管和5-F导管使用之间没有观察到样本取样充足率的显著差异.
- 上腺出血仅发生在右侧微导管采样 (13%).
结论:
- 在AVS中使用微导管可以提高选择性,但不能提高充分性.
- 常规使用微导管可能会增加右上腺出血的风险.
- 微导管使用的好处必须与潜在的风险进行权衡.
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