| Utility of bedside angiography in the evaluation of vascular obstruction in the pediatric intensive care patient. | |
| | |
MedLine Citation:
|
PMID: 20935587 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVE: : To review our experience with bedside angiography in order to demonstrate the utility of this technique for evaluation of blood vessels in the critically ill patient. DESIGN: : Retrospective review. SETTING: : Pediatric cardiac intensive care unit at a children's hospital. PATIENTS: : Five patients aged 5 days to 17 yrs in the cardiac intensive care unit at our institution received bedside angiography. Indications for bedside angiography included abnormal radiographic appearance of central catheter location or clinical suspicion of vascular obstruction. Institutional review board approval for this retrospective review was obtained, and the waiver of consent was approved by the institutional review board. INTERVENTIONS: : For angiographic evaluation of blood vessels, a radiographic plate was placed behind the area of blood vessels to be evaluated. Approximately 1 mL/kg of iohexol contrast was injected rapidly by hand into the blood vessel in question. Just at completion of the contrast injection, a radiograph was taken by portable radiograph equipment. MAIN RESULTS: : A total of five patients with potential blood vessel compromise were evaluated by bedside angiography. All angiograms clearly demonstrated the vascular anatomy and catheter location, in addition to identifying areas of obstruction and collateral flow. There were no cases of renal compromise due to contrast use and no blood vessel compromise from contrast injection. CONCLUSIONS: : Bedside angiography is a rapid, safe, and useful tool for the evaluation of complex vascular anatomy in critically ill patients. In cases where vascular ultrasound is unable to provide detailed anatomy or identify collateral flow, this technique may be useful in providing safe and accurate assessment of blood vessels associated with vascular access devices. |
| | |
Authors:
|
Kevin O Maher; Mark A Clay; Dennis Kim; William T Mahle |
Related Documents
:
|
19636087 - Vessel calibre and haemoglobin effects on pulse oximetry. 9284287 - The source of nmr-detected motional anisotropy of water in blood vessel walls. 19929297 - Blood flow measurement system for fetoscopic laser photocoagulation of chorionic plate ... 10565087 - Blood vessel response to pan-endothelium (reca-1) antibody in normal and tooth loaded r... 16769597 - Biochemistry, physiology, and complications of blood doping: facts and speculation. 3677957 - Screening for colorectal neoplasms. a comparison of the fecal occult blood test and end... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies Volume: 12 ISSN: 1529-7535 ISO Abbreviation: Pediatr Crit Care Med Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-07-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100954653 Medline TA: Pediatr Crit Care Med Country: United States |
Other Details:
|
Languages: eng Pagination: 442-4 Citation Subset: IM |
Affiliation:
|
From Children's Healthcare of Atlanta, Sibley Heart Center Cardiology, Emory University School of Medicine, Atlanta, GA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Study of Theories about Myopia Progression (STAMP) design and baseline data.
Next Document: Evaluation of multidisciplinary simulation training on clinical performance and team behavior during...