大脑数字减去血管学术后患者的血液和功能变化
Juan Manuel Marquez-Romero1, Marco Zenteno2, Antonio Arauz3
1Neurology. HGZ #2, IMSS, Aguascalientes Oriente SN, Aguascalientes 20190, Mexico.
Research in diagnostic and interventional imaging
|July 30, 2024
概括
对比诱导的急性损伤 (CI-AKI) 在脑数字减去血管造影 (DSA) 后发生在1.4%的患者中. 在手术后72小时内血红素显著下降,没有观察到永久性脏损伤.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 放射学 放射学是一门学科.
- 心血管医学 心血管医学
背景情况:
- 对比引起的急性损伤 (CI-AKI) 是对比介质暴露后的一个担忧.
- 大脑数字减去血管学 (DSA) 是一种使用对比剂的成像程序.
研究的目的:
- 确定在接受选择性大脑DSA的患者中CI-AKI的发生率.
- 为了评估脑后DSA血红素水平的变化.
主要方法:
- 一项前性研究涉及215名接受大脑DSA的患者.
- 对CI-AKI风险因素和血红素水平的评估程序前.
- 在对比剂给药后72小时内监测CI-AKI的发展.
主要成果:
- CI-AKI的发生率为1.4%.
- 观察到血红素 (p=0.001),肌素清除 (p=0.002) 和血清肌素 (p=0.031) 的显著下降.
- 在72小时内,平均血清肌氨酸增加了+0.27±0.10毫克/分升 (p<0.05).
结论:
- 在选择性大脑DSA之后,CI-AKI发生率较低.
- 在手术后72小时内,血红素显著降低.
- 在14天内没有发现永久性功能障碍.
相关概念视频
Imaging Studies for Cardiovascular System V: CT
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Imaging Studies III: Computed Tomography
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...


