Citation: | CAI Qiuyan, LIU Wanglin, CHENG Wei, LIU Jingjing, ZHANG Chaoji, LIU Jianzhou, LONG Yun, HE Huaiwu. Application of Bedside Hypertonic Saline-contrast Electrical Impedance Tomography of Lung Perfusion in Patients After Pulmonary Endarterectomy: Two Cases and Literature Review[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(2): 513-518. DOI: 10.12290/xhyxzz.2024-0222 |
Pulmonary electrical impedance tomography (EIT), a noninvasive, continuous, dynamic, and radiation-free bedside imaging technique for monitoring pulmonary ventilation, is now widely utilized in the diagnosis and management of critically ill patients. Beyond ventilation monitoring, hypertonic saline contrast-enhanced EIT for bedside pulmonary perfusion assessment has recently garnered significant attention. This article describes the application of hypertonic saline contrast-enhanced EIT to evaluate pulmonary perfusion in two patients following pulmonary endarterectomy, providing a reference for its perioperative application in such patients.
[1] |
He H W, Chi Y, Long Y, et al. Three broad classifications of acute respiratory failure etiologies based on regional ventilation and perfusion by electrical impedance tomography: a hypothesis-generating study[J]. Ann Intensive Care, 2021, 11(1): 134. DOI: 10.1186/s13613-021-00921-6
|
[2] |
何怀武, 隆云, 池熠, 等. 床旁高渗盐水造影肺灌注电阻抗断层成像的技术规范与临床应用[J]. 中华医学杂志, 2021, 101(15): 1097-1101.
He H W, Long Y, Chi Y, et al. Technology specification of bedside hypertonic saline-contrast electrical impedance tomography of lung perfusion and clinical application[J]. Natl Med J China, 2021, 101(15): 1097-1101.
|
[3] |
Frerichs I, Amato M B P, Van Kaam A H, et al. Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: consensus statement of the TRanslational EIT developmeNt stuDy group[J]. Thorax, 2017, 72(1): 83-93. DOI: 10.1136/thoraxjnl-2016-208357
|
[4] |
Hentze B, Muders T, Luepschen H, et al. Regional lung ventilation and perfusion by electrical impedance tomography compared to single-photon emission computed tomography[J]. Physiol Meas, 2018, 39(6): 065004. DOI: 10.1088/1361-6579/aac7ae
|
[5] |
Hinz J, Neumann P, Dudykevych T, et al. Regional ventilation by electrical impedance tomography: a comparison with ventilation scintigraphy in pigs[J]. Chest, 2003, 124(1): 314-322. DOI: 10.1378/chest.124.1.314
|
[6] |
Smit H J, Vonk-Noordegraaf A, Boonstra A, et al. Assessment of the pulmonary volume pulse in idiopathic pulmonary arterial hypertension by means of electrical impedance tomography[J]. Respiration, 2006, 73(5): 597-602. DOI: 10.1159/000088694
|
[7] |
He H W, Long Y, Frerichs I, et al. Detection of acute pulmonary embolism by electrical impedance tomography and saline bolus injection[J]. Am J Respir Crit Care Med, 2020, 202(6): 881-882. DOI: 10.1164/rccm.202003-0554IM
|
[8] |
Pavlovsky B, Pesenti A, Spinelli E, et al. Effects of PEEP on regional ventilation-perfusion mismatch in the acute respiratory distress syndrome[J]. Crit Care, 2022, 26(1): 211. DOI: 10.1186/s13054-022-04085-y
|
[9] |
Mauri T, Spinelli E, Scotti E, et al. Potential for lung recruitment and ventilation-perfusion mismatch in patients with the acute respiratory distress syndrome from coronavirus disease 2019[J]. Crit Care Med, 2020, 48(8): 1129-1134. DOI: 10.1097/CCM.0000000000004386
|
[10] |
Fossali T, Pavlovsky B, Ottolina D, et al. Effects of prone position on lung recruitment and ventilation-perfusion matching in patients with COVID-19 acute respiratory distress syndrome: a combined CT scan/electrical impedance tomography study[J]. Crit Care Med, 2022, 50(5): 723-732. DOI: 10.1097/CCM.0000000000005450
|
[11] |
He H W, Chi Y, Long Y, et al. Bedside evaluation of pulmonary embolism by saline contrast electrical impedance tomography method: a prospective observational study[J]. Am J Respir Crit Care Med, 2020, 202(10): 1464-1468. DOI: 10.1164/rccm.202005-1780LE
|
[12] |
Galiè N, Humbert M, Vachiery J L, et al. 2015 ESC/ERS guidelines for the diagnosis and treatment of pulmonary hypertension: the Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT)[J]. Eur Heart J, 2016, 37(1): 67-119. DOI: 10.1093/eurheartj/ehv317
|
[13] |
Zarantonello F, Sella N, Pettenuzzo T, et al. Bedside detection and follow-up of pulmonary artery stenosis after lung transplantation[J]. Am J Respir Crit Care Med, 2021, 204(9): 1100-1102. DOI: 10.1164/rccm.202101-0229IM
|
[14] |
Victor M, Xin Y, Alcala G, et al. First-pass kinetics model to estimate pulmonary perfusion by electrical impedance tomography during uninterrupted breathing[J]. Am J Respir Crit Care Med, 2024, 209(10): 1263-1265. DOI: 10.1164/rccm.202310-1919LE
|
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