A boa e velha água com sal agitada


1a

.

http://onlinelibrary.wiley.com/doi/10.1111/echo.13035/full

.

Saline contrast echocardiography (SCE) using agitated saline is an established, simple, inexpensive and yet surprisingly effective diagnostic tool that might help in solving a vexing diagnostic problem. Though the use of SCE is known since 1968, this test is underutilized in clinical practice

.

Air embolism because of injection of agitated saline for SCE is very rare with reported incidence of 0.062% in a multicenter survey. In a recent series, none of the 281 patients had any adverse event. In another study of 132 patients of hereditary hemorrhagic telangiectasia with grade 3 shunt only 2% (three) patients had paresthesia and migraine while none of the patients with shunt less than grade 3 had any adverse event.Further, these episodes are transient with no residual neurologic deficits making SCE a safe diagnostic tool. In our own experience, we have not observed a serious neurological event during the study even in patients with significant right-to-left shunt in more than few 100 patients studied over the years.

.

Confessamos nosso receio com o método mas não podemos negar as evidências científicas de baixíssimo risco.

.

Inclusive usos não rotineiros do método são abordados neste brilhante artigo.

.

1a

Deixe um comentário

Preencha os seus dados abaixo ou clique em um ícone para log in:

Logotipo do WordPress.com

Você está comentando utilizando sua conta WordPress.com. Sair / Alterar )

Imagem do Twitter

Você está comentando utilizando sua conta Twitter. Sair / Alterar )

Foto do Facebook

Você está comentando utilizando sua conta Facebook. Sair / Alterar )

Foto do Google+

Você está comentando utilizando sua conta Google+. Sair / Alterar )

Conectando a %s