دورية أكاديمية
Pediatric postmortem CT angiography: validation of vascular access for PMCT angiography in stillbirths, babies and toddlers.
| العنوان: | Pediatric postmortem CT angiography: validation of vascular access for PMCT angiography in stillbirths, babies and toddlers. |
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| المؤلفون: | Bruch GM; Institute of Forensic Medicine, LMU, Munich, Germany. gina.bruch@med.uni-muenchen.de., Hofer P; Institute of Forensic Medicine, Universitätsklinikum Heidelberg, Heidelberg, Germany., Ferraz da Silva LF; Faculdade de Medicina, Departamento de Patologia, Universidade de São Paulo, São Paulo, SP, Brazil.; São Paulo Autopsy Service, University of Sao Paulo, São Paulo, SP, Brazil., Pires-Davidson JR; Faculdade de Medicina, Departamento de Patologia, Universidade de São Paulo, São Paulo, SP, Brazil.; Hospital Universitário de Brasília-Radiologia, Universidade de Brasília, Brasília, DF, Brazil., Bento Dos Santos GA; Faculdade de Medicina, Departamento de Patologia, Universidade de São Paulo, São Paulo, SP, Brazil., Fischer FT; Institute of Forensic Medicine, LMU, Munich, Germany. |
| المصدر: | Forensic science, medicine, and pathology [Forensic Sci Med Pathol] 2024 Jun; Vol. 20 (2), pp. 627-635. Date of Electronic Publication: 2023 Oct 09. |
| نوع المنشور: | Journal Article; Validation Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Humana Press Country of Publication: United States NLM ID: 101236111 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1556-2891 (Electronic) Linking ISSN: 1547769X NLM ISO Abbreviation: Forensic Sci Med Pathol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Totowa, N.J. : Humana Press, c2005- |
| مواضيع طبية MeSH: | Computed Tomography Angiography* , Femoral Artery*/diagnostic imaging , Stillbirth*, Humans ; Infant, Newborn ; Infant ; Female ; Femoral Vein/diagnostic imaging ; Child, Preschool ; Catheterization, Peripheral ; Umbilical Veins/diagnostic imaging ; Male ; Autopsy/methods ; Contrast Media/administration & dosage |
| مستخلص: | Purpose: The use of angiography in postmortem CT angiography (PMCTA) has several advantages. In adults, femoral vascular access is well established. Due to the small and specific anatomy in fetuses and infants, the technique has to be adapted, especially regarding the vascular access. The aim of this study was to evaluate vascular access for pediatric PMCTA (pedPMCTA). Materials and Methods: Ten pedPMCTAs were performed in stillbirths, babies, and one toddler. A femoral approach by cannulation of the femoral artery and vein, an umbilical approach by cannulation of the umbilical vessels, and an intraosseous approach by an intraosseous needle were evaluated by handling and resulting imaging. Results: The insertion of a cannula with a size of 18-20 G in the femoral vessels was possible in babies. An umbilical access with peripheral venous cannulas with a size of 14-20 G was feasible in stillbirths and newborns. An intraosseous access is advisable as equal alternative to umbilical and in cases where a femoral access is not possible. The most significant problem with the vascular access is the extravasation of contrast media, but this can be reduced significantly with practice. Conclusion: When performing pedPMCTA, an umbilical vascular access is recommended if an umbilical cord with open vessels is still present. Otherwise, a bone marrow access should be preferred in the presence of an arteriovenous shunt or if only the venous system needs to be shown. If that is not the case, the femoral access with the possibility to separate venous and arterial scan should be used. (© 2023. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Femoral vascular access; Intraosseous access; PMCTA; Pediatric postmortem angiography; Umbilical vascular access |
| المشرفين على المادة: | 0 (Contrast Media) |
| تواريخ الأحداث: | Date Created: 20231009 Date Completed: 20240802 Latest Revision: 20240805 |
| رمز التحديث: | 20240805 |
| مُعرف محوري في PubMed: | PMC11297117 |
| DOI: | 10.1007/s12024-023-00726-y |
| PMID: | 37812319 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1556-2891 |
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| DOI: | 10.1007/s12024-023-00726-y |