冠状动脉造影术对比剂两种注射方法的比较
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摘要
目的比较冠状动脉血管造影(coronary artery angiography,CAG)中对比剂两种注射方法的对比剂剂量与辐射剂量。方法入选2016年1月至2016年6月在辽宁省人民医院行经桡动脉CAG的患者200例,根据注射对比剂的方法分为自动注射系统(automated contrast injection system,ACIS)组与手动注射系统(manual contrast injection system,MCIS)组各100例。比较两组患者的基本资料、对比剂净用剂量、对比剂消耗剂量、造影体位数、累积透视时间、累积空气比释动能、累积剂量面积乘积。结果两组患者基本资料、对比剂净用剂量、累积透视时间、造影体位数比较,差异均无统计学意义(均P>0.05)。ACIS组对比剂消耗剂量[(71.60±13.05)ml比(100.00±0.00)ml,P<0.001]、累积空气比释动能[(377.42±121.42)m Gy比(418.07±141.62)m Gy,P=0.031]、累积剂量面积乘积[(2787.37±927.15)μGym2比(3102.68±1101.09)μGym2,P=0.030]均明显低于MCIS组,差异均有统计学意义。结论在经桡动脉CAG中应用ACIS较MCIS减少对比剂消耗剂量,降低辐射剂量。
Objective To study whether the contrast volume and radiation dose can be reduced by automated contrast injection system( ACIS) in coronary angiography compared with manual contrast injection system( MCIS). Methods 200 patients undergoing coronary angiography with transradial approach in the People's Hospital of Liaoning Province were enrolled in the study from January 2016 to June 2016. They were divided into the ACIS group( n = 100) and the MCIS group( n = 100). The clinical data,the net amount of contrast the total amount of contrast media consumed,number of angiographic views performed,fluoroscopy time,air kerma( AK) and dose area product( DAP) of the two groups were statistically analyzed. Results There were no statistical differences in the clinical data,the net amount of contrast used,number of angiographic views performed and fluoroscopy time between the two groups( all P > 0. 05).The total amount of contrast media used,AK,and DAP were less in the ACIS group than in the MCIS group( all P < 0. 05). Conclusions The volume of contrast consumption and radiation dose can be reduced by ACIS during coronary angiography with transradial approach compared to MCIS.
Objective To study whether the contrast volume and radiation dose can be reduced by automated contrast injection system( ACIS) in coronary angiography compared with manual contrast injection system( MCIS). Methods 200 patients undergoing coronary angiography with transradial approach in the People's Hospital of Liaoning Province were enrolled in the study from January 2016 to June 2016. They were divided into the ACIS group( n = 100) and the MCIS group( n = 100). The clinical data,the net amount of contrast the total amount of contrast media consumed,number of angiographic views performed,fluoroscopy time,air kerma( AK) and dose area product( DAP) of the two groups were statistically analyzed. Results There were no statistical differences in the clinical data,the net amount of contrast used,number of angiographic views performed and fluoroscopy time between the two groups( all P > 0. 05).The total amount of contrast media used,AK,and DAP were less in the ACIS group than in the MCIS group( all P < 0. 05). Conclusions The volume of contrast consumption and radiation dose can be reduced by ACIS during coronary angiography with transradial approach compared to MCIS.
引文
[1]Marella PC,Talluri S,Schwartz R,et al.Use of ACIST?contrast injection device in carotid artery stenting in high-surgical-risk patients.Cardiovasc Revasc Med,2013,14(6):333-337.
[2]Khoukaz S,Kern MJ,Bitar SR,et al.Coronary angiography using4 Fr catheters with acisted power injection:A randomized comparison to 6 Fr manual technique and early ambulation.Catheter Cardiovasc Interv,2001,52(3):393-398.
[3]Hou L,Wei YD,Song J,et al.Comparative study of 4Fr catheters using the ACIST variable rate injector system versus 6Fr catheters using hand manifold in diagnostic coronary angiography via transradial approach.Chin Med J(Engl),2010,123(11):1373-1376.
[4]Anne G,Gruberg L,Huber A,et al.Traditional versus automated injection contrast system in diagnostic and percutaneous coronary interventional procedures:comparison of the contrast volume delivered.J Invasive Cardiol,2004,16,(7):360-362.
[5]Brosh D,Assali A,Vaknin-Assa H,et al.The ACIST power injection system reduces the amount of contrast media delivered to the patient,as well as fluoroscopy time,during diagnostic and interventional cardiac procedures.Int J Cardiovasc Intervent,2005,7(4):183-187.
[6]刘胜全,伊洪艳,邢丽娜,等.ACIST血管造影注射系统在冠状动脉介入治疗中的应用.中国介入心脏病学杂志,2013,21(4):223-225.
[7]Crowhurst J,Savage M,Barbour S,et al.Does Using an ACIST CVi Contrast Management System Reduce the Contrast Volume Delivered During Diagnostic Coronary Angiography?Heart Lung Circ,2010,19(2):S177.
[8]Fazel R,Gerber TC,Balter S,et al.Approaches to enhancing radiation safety in cardiovascular imaging:a scientific statement from the american heart association.Circulation,2014,130(19):1730-1748.
[2]Khoukaz S,Kern MJ,Bitar SR,et al.Coronary angiography using4 Fr catheters with acisted power injection:A randomized comparison to 6 Fr manual technique and early ambulation.Catheter Cardiovasc Interv,2001,52(3):393-398.
[3]Hou L,Wei YD,Song J,et al.Comparative study of 4Fr catheters using the ACIST variable rate injector system versus 6Fr catheters using hand manifold in diagnostic coronary angiography via transradial approach.Chin Med J(Engl),2010,123(11):1373-1376.
[4]Anne G,Gruberg L,Huber A,et al.Traditional versus automated injection contrast system in diagnostic and percutaneous coronary interventional procedures:comparison of the contrast volume delivered.J Invasive Cardiol,2004,16,(7):360-362.
[5]Brosh D,Assali A,Vaknin-Assa H,et al.The ACIST power injection system reduces the amount of contrast media delivered to the patient,as well as fluoroscopy time,during diagnostic and interventional cardiac procedures.Int J Cardiovasc Intervent,2005,7(4):183-187.
[6]刘胜全,伊洪艳,邢丽娜,等.ACIST血管造影注射系统在冠状动脉介入治疗中的应用.中国介入心脏病学杂志,2013,21(4):223-225.
[7]Crowhurst J,Savage M,Barbour S,et al.Does Using an ACIST CVi Contrast Management System Reduce the Contrast Volume Delivered During Diagnostic Coronary Angiography?Heart Lung Circ,2010,19(2):S177.
[8]Fazel R,Gerber TC,Balter S,et al.Approaches to enhancing radiation safety in cardiovascular imaging:a scientific statement from the american heart association.Circulation,2014,130(19):1730-1748.