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左上腺静脉采样在患有左上腺静脉变异的患者中的实用指南
Monica M Matsumoto1, Daniel Picus2, Scott O Trerotola3
1Department of Radiology, University of Pennsylvania Health System, 3400 Spruce Street, 1 Silverstein, Philadelphia, PA, 19104, USA. monica.matsumoto1@pennmedicine.upenn.edu.
Cardiovascular and interventional radiology
|August 28, 2023
概括
了解左静脉 (LRV) 变异对于成功抽取上腺静脉 (AVS) 样本至关重要. 本指南提供了实用技巧,用于执行AVS与重复的,环膜,和逆膜LRVs.
科学领域:
- 血管解剖学 血管解剖学
- 干预性放射学是干预性的放射学.
背景情况:
- 左静脉 (LRV) 变异使上腺静脉 (AVS) 采样复杂化.
- 现有的文献主要涉及右上腺静脉AVS,忽视了LRV变异.
- 本指南详细介绍了复制 (Du),环膜 (Ca) 和逆膜 (Ra) LRV 的AVS技术.
研究的目的:
- 为在存在左静脉 (LRV) 变异的情况下对上腺静脉采样 (AVS) 提供实用,技术指导.
- 提高AVS程序的效率和成功率.
- 阐明常见LRV变体与左上腺静脉之间的关系.
主要方法:
- 从2009年6月到2023年3月,对27例具有LRV变异 (DuLRV,CaLRV,RaLRV) 的AVS病例进行了回顾性审查.
- 横截面成像分析,以评估LRV解剖术前程序.
- 关于LRV解剖变异及其对AVS的影响的文献综述.
主要成果:
- 对于重复 (Du) 或环膜 (Ca) 的LRV,左上腺静脉通常会流入前大动脉LRV肢体,允许使用西蒙斯导管进行标准AVS.
- 对于逆 (Ra) LRVs,导管选择可能需要曲棍球棒或微导管,因为更长的过程和潜在的狭窄.
- 通过达到值选择性指数来确认AVS的成功.
结论:
- 熟悉左静脉 (LRV) 变体及其特定解剖学对于高效的上腺静脉 (AVS) 采样至关重要.
- 根据LRV变异解剖学的定制导管选择提高了AVS成功率.
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