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新型超声导向上腺静脉采样在对比物不耐受患者:两个病例报告
Yoshiaki Hishida1, Kazuki Hashimoto2, Ryota Mochizuki1
1Division of Metabolism and Endocrinology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan.
European journal of endocrinology
|February 25, 2025
概括
这项研究引入了一种新的上腺静脉采样 (AVS) 技术,使用超声波来治疗原发性阿尔多斯特隆症 (PA) 无法容忍有的对比剂 (ICM) 的患者. 该AcuNav ICE导管成功引导了导管,提供了一个更安全的替代方案.
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:
- 上腺静脉采样 (AVS) 对于诊断原发性阿尔多斯特主义 (PA) 亚型至关重要.
- 化对比剂 (ICM) 传统上用于在AVS期间引导导管.
- 患有ICM禁忌的患者需要使用其他AVS方法.
研究的目的:
- 介绍一种新的超声导向AVS技术,使用AcuNav心内心声谱 (ICE) 导管.
- 评估这种技术在患有PA和ICM禁忌的患者中的可行性.
主要方法:
- 在AVS期间,AcuNav ICE导管用于实时超声波可视化.
- 这项手术是在两名患有ICM (过敏和喘) 禁忌的PA患者身上进行的.
- 在没有ICM或替代对比剂的情况下,可以实现上腺静脉的管.
主要成果:
- 在使用AcuNav ICE导管的两名患者中,成功地实现了上腺静脉的管.
- 超声波引导技术消除了对ICM的需要.
- 在ICM不耐受症患者中,该程序是安全有效的.
结论:
- 该AcuNav ICE导管为AVS提供了一种新,安全和有效的超声波导向方法.
- 这种技术是PA患者的可行的替代方案,对ICM有禁忌.
- 这种方法在管理PA方面有望进一步应用.
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