Saline Solution: Difference between revisions

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The use of ultrasound contrast enhanced detection of the PFO relative to PW Doppler color. Recent studies have shown that a transthoracic echo contrast with comparable accuracy with a transesophageal echo.
The use of echo contrast improved the detection of the PFO relative to PW Doppler color. Recent studies have shown that a transthoracic echo contrast with a similar accuracy has a transesophageal echo.


Contrast is a mixture of 8 ml physiological saline ( NaCl ) with 0.5- 1.0ml air and 0.5- 1.0ml blood. First, we look without Valsalva does this not result then still Valsalva what better detection result is. A contrast echo is done with a AP4Ch or subcostale4Ch recording. The contrast is in the right atrium to. In a positive test is seen crossing to the left atrium. The number of heart beats have to be counted. If there is seen in the LA contrast within 3 cardiac cycles is considered an intracardiac shunt. It takes longer than three cardiac cycles are called an intrapulmonary shunt.
Contrast is a mixture of 8 ml physiological saline (NaCl) with 0.5- 1.0ml air and 0.5- 1.0ml blood. First, we look without valsalva does this not result then still Valsalva what better detection result is. A contrast echo is done with a AP4Ch or subcostale4Ch recording. The contrast is in the right atrium to. In a positive test is seen crossing to the left atrium. The number of heart beats have to be counted. If there is seen in the LA contrast within 3 cardiac cycles is considered an intracardiac shunt. It takes longer than three cardiac cycles are called an intrapulmonary shunt.


The risk of contrast ultrasound is very low , according to a study by the American Society of echocardiography there is about 0:06 % chance of a side effect of contast by saline.
The risk of contrast ultrasound is very low , according to a study by the American Society of echocardiography there is about 0:06 % chance of a side effect of contrast by saline.
 
==Example==
 
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!Video source <cite>1</cite>
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==References==
==References==
<biblio>
<biblio>
#1 pmid=22941889
#1 pmid=21078836
</biblio>
</biblio>

Revision as of 17:32, 1 February 2014

The use of echo contrast improved the detection of the PFO relative to PW Doppler color. Recent studies have shown that a transthoracic echo contrast with a similar accuracy has a transesophageal echo.

Contrast is a mixture of 8 ml physiological saline (NaCl) with 0.5- 1.0ml air and 0.5- 1.0ml blood. First, we look without valsalva does this not result then still Valsalva what better detection result is. A contrast echo is done with a AP4Ch or subcostale4Ch recording. The contrast is in the right atrium to. In a positive test is seen crossing to the left atrium. The number of heart beats have to be counted. If there is seen in the LA contrast within 3 cardiac cycles is considered an intracardiac shunt. It takes longer than three cardiac cycles are called an intrapulmonary shunt.

The risk of contrast ultrasound is very low , according to a study by the American Society of echocardiography there is about 0:06 % chance of a side effect of contrast by saline.

Example

Video
Video source [1]

References

  1. Davison P, Clift PF, and Steeds RP. The role of echocardiography in diagnosis, monitoring closure and post-procedural assessment of patent foramen ovale. Eur J Echocardiogr. 2010 Dec;11(10):i27-34. DOI:10.1093/ejechocard/jeq120 | PubMed ID:21078836 | HubMed [1]