From The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.
Clin Nucl Med. 2017 May;42(5):377-378. doi: 10.1097/RLU.0000000000001605.
The incidence of congenital heart disease requiring specialized care is 2.5 to 3 per 1000 live births with a prevalence of congenital heart disease of 81.4 per 10,000 live births. Total cavopulmonary or atriopulmonary connection, used for palliation of certain types of congenital heart disease, diverts flow from the vena cava or atrium directly into the pulmonary arteries. Altered anatomy in patients who have undergone this intervention may result in contrast and/or radiotracer localizing preferentially to a single lung leading to interpretation errors and redundant studies. Performing bilateral upper-extremity injections for this patient population may reduce such technical errors and redundant studies.
需要专业治疗的先天性心脏病发病率为每 1000 例活产儿中有 2.5 至 3 例，每 10000 例活产儿中有 81.4 例先天性心脏病。全腔静脉肺动脉连接术或心房肺动脉连接术用于姑息治疗某些类型的先天性心脏病，将血流从腔静脉或心房直接引流入肺动脉。接受过这种介入治疗的患者解剖结构的改变可能导致对比剂和/或放射性示踪剂优先定位到单侧肺，从而导致解读错误和重复检查。对这类患者人群行双侧上肢注射可减少此类技术错误和重复检查。
