相关实验视频
Updated: Jul 12, 2025

06:08
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
23.5K
左上腺静脉:右上腺静脉采样的一个重要方向
Hongliang Xiong1, Li Du2, Jiao Yang1
1Department of Cardiology, the Second Affiliated Hospital of Nanchang University, Nanchang, China.
Journal of clinical hypertension (Greenwich, Conn.)
|October 27, 2023
概括
左上腺静脉 (LAV) 可以指导右上腺静脉取样 (AVS) 进行初级阿尔多斯特隆症. 它的位置,以及患者的BMI和性别等因素,有助于确定正确的上腺静脉.
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
- 医疗成像医学成像
背景情况:
- 主要阿尔多斯特主义 (PA) 诊断依赖于精确的上腺静脉采样 (AVS).
- 在AVS手术过程中,识别右上腺静脉 (RAV) 孔口可能具有挑战性.
- 左上腺静脉 (LAV) 解剖学可能为RAV管道提供定位参考.
研究的目的:
- 评估左上腺静脉 (LAV) 的实用性,作为右上腺静脉采样 (AVS) 的指南.
- 为了确定LAV与右上腺静脉 (RAV) 孔之间的解剖关系.
- 为了确定影响RAV孔与LAV相对位置的患者因素.
主要方法:
- 对347名接受AVS治疗的原发性阿尔多斯铁症患者的回顾性分析.
- 根据解剖学标志,将RAV孔位置分为特定区域 (A,B,C) 的分类.
- 患者人口统计学 (BMI,性别) 和LAV角度与RAV孔位置之间的相关性分析.
主要成果:
- 大多数RAV孔 (96.8%) 位于A区,其中A1,A2和A3分区分别占80.9%,17.0%和2.1%.
- 在LAV和RAV之间更密切的位置关系与更高的BMI,女性性别和更小的LAV-水平角度有关.
- RAV孔的水平位置通常与LAV的远端保持一致.
结论:
- 左上腺静脉 (LAV) 作为指导右上腺静脉采样 (AVS) 的可靠解剖地标.
- 患者的特征,包括体重指数,性别和LAV角度是RAV孔位置的重要决定因素.
- 了解这些关系可以提高AVS在原发性阿尔多斯特龙症诊断中的成功率和效率.
相关概念视频
Cardiac Catheterization II: Right Heart Catheterization
25
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
25
Veins of the Abdomen and Pelvis
659
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
659
Overview of Systemic Veins
489
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
489
Veins of Thorax
869
The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
869
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
12
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
12
Venous Return
4.9K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
4.9K

