Filipiak-Strzecka Dominika, Michalski Błażej, Kasprzak Jarosław D, Lipiec Piotr
Department of Cardiology, Medical University of Lodz, Lodz, Poland.
Department of Cardiology, Medical University of Lodz, Lodz, Poland.
Ultrasound Med Biol. 2014 Dec;40(12):2753-8. doi: 10.1016/j.ultrasmedbio.2014.06.022. Epub 2014 Oct 11.
The aim of this study was to validate pocket-size imaging devices (PSIDs) as a fast screening tool for detecting complications after femoral artery puncture. Forty patients undergoing femoral artery puncture for arterial access related to percutaneous coronary intervention were enrolled. Twenty-four hours after percutaneous coronary intervention, the involved inguinal region was assessed with PSIDs enabling 2-D gray-scale and color Doppler imaging. Subsequently, examination with a stationary high-end ultrasound system was performed to verify the findings of bedside examination in all patients. In 37 patients, PSID imaging had good diagnostic quality. False aneurysms (one asymptomatic) occurred in four patients, and all were recognized during bedside screening with PSID. One case of femoral artery thrombosis was confirmed with PSID and during standard ultrasonographic examination. Physical examination augmented with the quick bedside PSID examination had a sensitivity of 100% and specificity of 91%. PSID facilitated rapid bedside detection of serious access site complications in the vast majority of patients, including asymptomatic cases.
本研究的目的是验证口袋型成像设备（PSIDs）作为一种用于检测股动脉穿刺后并发症的快速筛查工具。纳入了40例因经皮冠状动脉介入治疗相关的动脉通路而接受股动脉穿刺的患者。经皮冠状动脉介入治疗24小时后，使用能够进行二维灰阶和彩色多普勒成像的PSIDs对腹股沟相关区域进行评估。随后，对所有患者使用固定式高端超声系统进行检查，以验证床边检查的结果。在37例患者中，PSID成像具有良好的诊断质量。4例患者出现假性动脉瘤（1例无症状），所有这些均在床边使用PSID筛查时被识别。1例股动脉血栓形成病例经PSID及标准超声检查确诊。结合快速床边PSID检查的体格检查敏感性为100%，特异性为91%。PSID有助于在绝大多数患者中快速床边检测严重的穿刺部位并发症，包括无症状病例。
