在低奥斯莫拉对比度冠状动脉血管造影后的对比诱导脑病变
Anastasia Proshkina1, Jonathan Shpigelman1, Mohamad Bahrou1
1Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
JACC. Case reports
|November 21, 2025
概括
催化剂对比诱导的脑病变是一种罕见的神经问题,与含的对比介质有关. 这种情况,即使使用现代低度剂,也可能在冠状动脉血管造影等手术中发生.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 心脏病学 心脏病学
背景情况:
- 催化剂对比诱导性脑病变 (CIE) 是一种罕见的神经复杂症,与含的对比介质有关.
- 虽然在历史上与高奥斯莫拉剂有关,但CIE也可能发生在低奥斯莫拉,非离子对比剂中.
- 在现代医学成像中,包括冠状动脉血管学中,低奥斯莫拉剂很普遍.
研究的目的:
- 报告一组对比引起的脑病变病例.
- 要突出在心脏导管治疗期间常用低度对比剂的CIE的潜在发生.
主要方法:
- 案例系列呈现.
- 在一周内在一个单一的大容量心脏导管实验室进行的21次连续血管图的审查.
- 对比介质的使用和脑病变症状的出现之间的时间关联分析.
主要成果:
- 在短时间内发现了三例对比引起的脑病变.
- 这些病例发生在一个连续21次血管图的时间附近.
- 这些事件与心脏导管过程中使用对比媒介有关.
结论:
- 相反诱导的脑病也可能发生,即使使用低度,非离子的对比介质.
- 一组病例表明,可能是报告不足或特定的程序/患者因素.
- 对CIE的认识对于进行对比增强手术的临床医生至关重要,特别是冠状动脉血管学.
相关概念视频
Imaging Studies for Cardiovascular System V: CT
264
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...
264
Imaging Studies III: Computed Tomography
268
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...
268
Cardiac Catheterization I: Pre-Procedure Overview
1.0K
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...
1.0K
Imaging Studies for Cardiovascular System IV: CMRI
300
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
300
Radiological Investigation I: X-ray and CT
1.0K
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
1.0K
Cardiac Catheterization IV: Nursing Management
623
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...
623


