2008年美国心脏病学会公布的碘克沙醇与碘普罗胺对照研究的摘要
发布于:2008-04-09 11:00
2008年4月2日08:30分
WAUWATOSA,Wis.--(BUSINESSWIRE)-- 本周在McCormick Place召开的ACC展会上,公布了一项包含208患者的研究的摘要,这是首个关于在同时接受经皮冠脉介入术(PCI)或不接受PCI的情况下,等滲对比剂(CM)碘克沙醇和低滲对比剂碘普罗胺,用于接受冠脉造影的慢性肾脏疾病(CKD)患者,比较两者的肾脏安全性、心血管不良事件的发生、及诊断性成像质量的研究。
这是一项前瞻性、随机、双盲、单中心研究,作者为北京安贞医院(中华人民共和国,北京)的医学博士聂斌,周玉杰教授及其同事们。研究的初步结论显示,在同时接受PCI或不接受PCI的情况下,接受冠脉造影的CKD患者中,与低滲对比剂碘普罗胺相比,等滲对比剂碘克沙醇引起的对比剂肾病(CIN)和复合心血管事件(MACE)的发生率显著较低。其它发现还包括,两种对比剂的成像质量无差异。这些发现支持2007年AHA/ACC关于不稳定型心绞痛/非ST段抬高型心肌梗死(UA/NSTEMI)的处理指南中的1A类推荐,及AHA/ACC/SCAI的PCI指南2007年更新,推荐接受冠状动脉造影的CKD患者使用等滲对比剂。
相关文章:
2008-04-09 11:16:18 by: doctor2
<A href="http://www.ccheart.com.cn/supersite/batch.download.php?aid=478" target=_blank><IMG src="http://www.ccheart.com.cn/supersite/attachments/2008/04/18884_200804091116041.jpg" border=0></A>
2008-04-09 11:16:41 by: doctor2
<A href="http://www.ccheart.com.cn/supersite/batch.download.php?aid=479" target=_blank><IMG src="http://www.ccheart.com.cn/supersite/attachments/2008/04/18884_200804091116291.jpg" border=0></A>
2008-04-09 11:02:09 by: doctor2
<H2>Iodixanol vs Iopromide Study Abstract Presented at American College of Cardiology 2008</H2>
<DIV class=t_msgfont id=postmessage_23406>
<P> </P>
<P>Tuesday April 1, 5:28 pm ET <BR></P>
<P>WAUWATOSA, Wis.--(BUSINESS WIRE)--An abstract of a first-ever 208-person study comparing the renal safety, occurrence of cardiovascular adverse events and diagnostic image quality of the isosmolar contrast media (CM) iodixanol and the low-osmolar CM iopromide in patients with chronic kidney disease (CKD) undergoing coronary angiography with or without percutaneous coronary intervention (<SPAN class=t_tag onclick=tagshow(event) href="tag.php?name=PCI">PCI</SPAN>), was available at this week’s ACC Exposition at McCormick Place.</P>
<P> </P>
<P>The prospective, randomized, double-blind, single-center study is authored by Bin Nie, M.D. and colleagues from Beijing Anzhen Hospital, Beijing, People’s Republic of China.</P>
<P> </P>
<P>The preliminary conclusion of the study indicates that iso-osmolar CM iodixanol appears to be associated with a significantly lower incidence of Contrast Induced Nephropathy (CIN) and composite cardiovascular events compared with the low-osmolar CM iopromide in patients with CKD undergoing coronary angiography with or without PCI. Additional findings included the image quality of the two agents does not differ. The findings support the class 1A recommendation from the 2007 AHA/ACC guidelines for the management of patients with Unstable-Angina/Non-ST-Elevation Myocardial Infarction (UA/NSTEMI) and the AHA/ACC/SCAI 2007 Update of the Guidelines for PCI, recommending the use of isosmolar contrast in patients with CKD who undergo coronary arteriography.</P>
<P> </P>
<P>ABOUT VISIPAQUE, SELECT SAFETY INFORMATION: </P>
<P> </P>
<P>In the U.S., Visipaque™ (iodixanol) Injection Nonionic Isosmolar VISIPAQUE IS NOT FOR INTRATHECAL USE. All nonionic, iodinated contrast media currently available inhibit blood coagulation, in vitro, less than ionic contrast media. Clotting has been reported when blood remains in contact with syringes containing nonionic contrast media. Serious, rarely fatal, thromboembolic events causing myocardial infarction and stroke have been reported during angiographic procedures with both ionic and nonionic contrast media. Caution must be exercised in patients with severely impaired renal function, combined renal and hepatic disease, combined renal and cardiac disease, severe thyrotoxicosis, myelomatosis, or anuria, particularly when large doses are administered.</P>
<P> </P>
<P>Before administering this product please see the product’s full prescribing information located at <A href="http://www.gehealthcare.com/">www.gehealthcare.com</A>. Because indications vary, consult your country-specific prescribing information.</P>
<P> </P>
<P>source:GE healthcare</P></DIV>
2008-04-09 11:11:45 by: doctor2
<A href="http://www.ccheart.com.cn/supersite/batch.download.php?aid=473" target=_blank><IMG src="http://www.ccheart.com.cn/supersite/attachments/2008/04/18884_200804091104031.jpg" border=0></A>
2008-04-09 11:13:51 by: doctor2
<A href="http://www.ccheart.com.cn/supersite/batch.download.php?aid=475" target=_blank><IMG src="http://www.ccheart.com.cn/supersite/attachments/2008/04/18884_200804091113281.jpg" border=0></A>



京公网安备 11010102002968号