4 F MPA1导管经右肘静脉完成双侧肾上腺静脉同步采血可行性和安全性研究——附51例报道  

The feasibility and safety of simultaneous bilateral adrenal vein sampling using 4F-MPA1 catheter via right elbow vein access:preliminary results in 51 patients

作　　者：李庆安 王清鹤 余铭 李禄洪 温俊伟 沈双玉 褚佳丽 吴俊霞 靳怡 李元昊 LI Qingan;WANG Qinghe;YU Ming;LI Luhong;WEN Junwei;SHEN Shuangyu;CHU Jiali;WU Junxia;JIN Yi;LI Yuanhao(Department of General Practice,Affiliated Hospital of Hubei University of Arts and Sciences(Xiangyang Municipal Central Hospital),Xiangyang,Hubei Province 441021,China)

机构地区：[1]湖北文理学院附属医院(襄阳市中心医院)全科医学科,湖北襄阳441021 [2]广东医科大学公共卫生学院

出　　处：《介入放射学杂志》2024年第2期176-181,共6页Journal of Interventional Radiology

摘　　要：目的 探讨2根4F MPA1导管经右肘静脉行双侧肾上腺静脉同步采血术(AVS)的可行性和安全性。方法 连续纳入2021年10月至2022年10月在襄阳市中心医院需行AVS的51例原发性醛固酮增多症患者,采用2根4F MPA1导管(其中1根塑形成猪尾形)经右肘静脉行双侧同步AVS。统计选用导管、双侧肾上腺静脉同步采血成功率、并发症发生率。结果 对右肾上腺静脉均使用4 F MPA1导管,左肾上腺总干静脉、左肾上腺中央静脉均使用经特殊塑形的4 F MPA1导管。双侧同步AVS成功率为92.2%(47/51)。发生1例(1.96%)肾上腺血肿。结论 经右肘静脉使用2根4 F MPA1导管行双侧同步AVS,导管选择及操作简单、创伤小、安全可行,但因样本量小,仍需进一步研究验证。Objective To discuss the feasibility and safety of simultaneous bilateral adrenal vein sampling(AVS) using two 4F-MPA1 catheters via right elbow vein access.Methods A total of 51 consecutive patients with primary aldosteronism,who received simultaneous bilateral AVS using two 4F-MPA1 catheters(one of the two catheters was shaped into pig tail figure) via right elbow vein access at Xiangyang Municipal Central Hospital between October 2021 and October 2022,were enrolled in this study.The used catheter,the success rate of simultaneous bilateral AVS,and the incidence of complications rate were calculated.Results The 4F-MPA1 catheter was used for all of the right AVS,while a specially shaped 4F-MPA1 catheter was used for the main trunk vein AVS of the left adrenal gland and the central vein AVS of the left adrenal gland.The success rate of simultaneous bilateral AVS was 92.2%(47/51).Adrenal hematoma occurred in one patient(1.96%).Conclusion The technique of simultaneous bilateral AVS using two 4F-MPA1 catheters via right elbow vein access is simple to operate,less traumatic,and clinically safe and feasible.However,due to the small sample used in this study,the clinical value of this technique still needs further investigation and verification.(J Intervent Radiol,2024,32:176-181)

关 键 词：4 F MPA1导管 右肘静脉 肾上腺静脉采血 同步采血 原发性醛固酮增多症 

分 类 号：R586.24[医药卫生—内分泌]