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图像融合增强血管造影可提高肾上腺静脉采样中右肾上腺静脉置管成功率。

Image Fusion-Augmented Angiography Improves Right Adrenal Vein Cannulation Success Rate in Adrenal Vein Sampling.

机构信息

Monash Health Imaging, Monash Medical Centre, Monash Health, 246 Clayton Rd, Clayton, Australia, 3168.

Faculty of Medicine, Nursing and Health Sciences, School of Clinical Sciences, Monash University, Clayton, Australia.

出版信息

AJR Am J Roentgenol. 2021 Oct;217(4):945-946. doi: 10.2214/AJR.21.25696. Epub 2021 May 12.

DOI:10.2214/AJR.21.25696
PMID:33978460
Abstract

Image fusion-augmented angiography to guide cannulation during adrenal vein sampling (AVS) entails fusion between preprocedural CT images on which ring markers indicate adrenal vein ostia and live digital subtraction angiography fluoroscopic images. In patients who underwent adrenal vein sampling (18 without, 23 with image fusion-augmented angiography), image fusion-augmented angiography increased the success rate of right adrenal vein cannulation (55.6% to 87.0%; = .04) and reduced fluoroscopy time (23.7 to 16.3 minutes; = .03) and dose area product (532,195 to 91,403 mGy ∙ cm; = .006).

摘要

图像融合增强血管造影指导肾上腺静脉采样 (AVS) 时,需要将带有环标记的表示肾上腺静脉口的术前 CT 图像与实时数字减影血管造影荧光透视图像融合。在接受肾上腺静脉采样的患者中(18 例未进行图像融合增强血管造影,23 例进行图像融合增强血管造影),图像融合增强血管造影增加了右侧肾上腺静脉插管的成功率(55.6%至 87.0%; =.04),并减少了透视时间(23.7 至 16.3 分钟; =.03)和剂量面积乘积(532195 至 91403 mGy ∙ cm; =.006)。

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引用本文的文献

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Adrenal Vein Sampling for Primary Aldosteronism: Recommendations From the Australian and New Zealand Working Group.原发性醛固酮增多症的肾上腺静脉采血:澳大利亚和新西兰工作组的建议
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