Fractional dilution of low-dose alternative to injections in children with cardiac CT angiography in the application of.docVIP

 PAGE \* MERGEFORMAT 18 Fractional dilution of low-dose alternative to injections in children with cardiac CT angiography in the application of [Abstract] Objective To investigate the fractional dilution of alternative injection technique in children with low-dose CT cardiovascular imaging (CCTA) in the application. The method has been examined and approved by the hospital ethics committee, 126 children with congenital heart disease before surgery was CCTA scan All cases from the Guangzhou Children’s Hospital in May 2008 to 2009 period of 11 clinical ultrasound diagnosis of complex congenital heart disease in children row CCTA examination, 35 patients were treated with conventional binoculars biphasic injection scheme, namely after contrast agent injection 2.0-2.5ml/kg normal saline injection, 91 patients were treated with 2 dilution scanning program, first by age weight size for a 1.0-1.5ml/kg of iopromide (370 mg / ml), to 0.4-2.8 ml / s flow rate by foot or hand vein intravenous injection of 5-30 ml; then used together with 30% 70% contrast agent diluted with normal saline mixed injection, contrast agent is 0.5-0.7ml/kg , injection speed 0.5-2.8ml / s, the same flow rate of the last additional 4-25 ml final dilution of pure saline. by two physicians of high qualification retrospective analysis of cardiac imaging diagnosis of high concentrations of two groups of right heart contrast agent artifact Clear the control level and artery imaging, database applications spss15.0 for windows statistical package. Results in 126 patients with congenital heart disease, 70 cases of male and female 56 cases, median age 2.8 years, average heart rate 85-159 beats / min. In the second set of scanning programs and found no age, weight and heart rate significantly different (P valuesgt; 0.05). Graded diluted two programs show alternative group RV CT attenuation values #8203;#8203;higher than the conventional two-phase density group (p lt;0.01), while the right heart contrast