Gerk U, Mrowietz C, Sternitzky R, Franke R P, Spitzer S G, Jung F
Krankenhaus Dresden-Friedrichstadt, II. Medizinische Klinik, Dresden, Germany.
Institute for Heart and Circulation Research, Eißendorfer Pferdeweg, Hamburg-Harburg, Germany.
Clin Hemorheol Microcirc. 2016;64(3):297-304. doi: 10.3233/CH-168101.
Radiographic contrast media (RCM) can initiate microcirculatory disorders. This study was performed to investigate effects of Ioxaglate on the cutaneous microcirculation. The investigation was carried out as prospective randomized double-blind comparison in parallel-group design on two groups of n = 10 patients each who had to undergo a diagnostic coronary angiography.The confirmatory parameter of the study was mean erythrocyte capillary velocity [vRBC in mm/sec]. VRBC in the ipsilateral nail-fold capillaries was recorded continuously for 3 min before and 6 min after injection of RCM or isotonic saline solution in the A. axillaris respectively, and was evaluated off-line.VRBC in nailfold capillaries was found to be decreased by Ioxaglate by 34% 150 seconds after injection, while isotonic NaCl solution immediately induced a slight increase of 14%.
放射造影剂(RCM)可引发微循环障碍。本研究旨在探讨碘克沙醇对皮肤微循环的影响。该研究采用前瞻性随机双盲平行组设计,对两组各10例必须接受诊断性冠状动脉造影的患者进行研究。本研究的确认参数为平均红细胞毛细血管速度[vRBC,单位为毫米/秒]。分别在腋动脉注射RCM或等渗盐溶液前3分钟和注射后6分钟,连续记录同侧甲襞毛细血管中的vRBC,并进行离线评估。发现碘克沙醇注射后150秒可使甲襞毛细血管中的vRBC降低34%,而等渗氯化钠溶液立即使其略有增加14%。