静脉角度作为一个解剖学里程碑来评估外部心室导管放置位置
Fnu Ruchika1, A Karim Ahmed1, Aaron E Rusheen1
1Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
概括
数字减去血管造影 (DSA) 可以通过对深静脉系统的导管进行可视化来帮助确定外腔室排水 (EVD) 的位置. 这种方法可以简化工作流程,但需要CT或MRI确认.
科学领域:
- 神经外科 神经外科
- 神经辐射学神经辐射学
- 医疗成像医学成像
背景情况:
- 外腔室排水 (EVD) 的位置对于管理水头症至关重要.
- 目前的EVD放置依赖于使用外部地标的自由手技巧.
- 精确的EVD放置对于有效的脑脊液转移至关重要.
研究的目的:
- 评估数字减去血管学 (DSA) 在确定EVD位置方面的实用性.
- 为了将基于DSA的EVD局部化与深静脉系统进行比较.
- 评估使用DSA用于过程内EVD评估的可行性.
主要方法:
- 追溯对48名接受EVD安置治疗的患者进行了回顾,这些患者在脑下下关节出血后患有水头发症.
- 使用法根等级 (CT) 和一个新的DSA分级系统评估EVD的位置.
- 分析DSA分级系统的审查员间可靠性和歧视.
主要成果:
- DSA与基于CT的法根评分达成85.4%的一致 (科恩的 κ=0.66).
- 新的DSA分级系统显示,在良好的,反的和低于最佳的EVD位置之间存在温和的歧视.
- DSA有效地可视化了与静脉角度相对的导管位置.
结论:
- DSA是一种可行的方法,用于确定EVD在内血管套件中的位置.
- 在DSA上对静脉角度进行视觉化EVD可以简化紧急工作流程.
- 对于后续验证EVD安置的CT或MRI仍然至关重要.
关键词:
外腔室排水管是外腔室的排水管.大脑血管学脑血管学深脑静脉系统的深脑静脉系统数字减法血管造影图 血管造影图外腹腔导管治疗的外腹腔导管.内脑静脉 内脑静脉泰拉莫斯特里亚特静脉的静脉.静脉的角度 静脉的角度更多相关视频
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