{"id":12731,"date":"2023-10-31T20:26:36","date_gmt":"2023-10-31T19:26:36","guid":{"rendered":"https:\/\/www.aitertc.it\/web\/?p=12731"},"modified":"2024-09-05T09:46:46","modified_gmt":"2024-09-05T08:46:46","slug":"acrecmotc-ruolo-e-valutazione-tecnica-della-tomografia-computerizzata-tc-nel-paziente-in-arresto-cardiaco-refrattario-acr-trattato-con-ossigenazione-extracorporea-a-membrana-ecmo","status":"publish","type":"post","link":"https:\/\/www.aitertc.it\/web\/2023\/10\/31\/acrecmotc-ruolo-e-valutazione-tecnica-della-tomografia-computerizzata-tc-nel-paziente-in-arresto-cardiaco-refrattario-acr-trattato-con-ossigenazione-extracorporea-a-membrana-ecmo\/","title":{"rendered":"b(2)_ACRECMOTC Ruolo e valutazione tecnica della Tomografia Computerizzata (TC) nel paziente in Arresto Cardiaco Refrattario (ACR) trattato con Ossigenazione Extracorporea a Membrana (ECMO)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"12731\" class=\"elementor elementor-12731\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-652147f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"652147f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3634b4c\" data-id=\"3634b4c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-11f4a63 elementor-widget elementor-widget-image\" data-id=\"11f4a63\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/2_Scardino-1024x576.png\" class=\"attachment-large size-large wp-image-12886\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/2_Scardino-1024x576.png 1024w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/2_Scardino-300x169.png 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/2_Scardino-768x432.png 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/2_Scardino-1536x864.png 1536w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/2_Scardino.png 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-509e9f0 elementor-widget elementor-widget-text-editor\" data-id=\"509e9f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>M. Scardino, M. Perusia, S. Veglia; Radiodiagnostica 2 DEA AOU Citt\u00e0 della Salute e della Scienza, Molinette, Torino mscardino@cittadellasalute.to.it<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b7d13c0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b7d13c0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-83deeec\" data-id=\"83deeec\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-79770af elementor-widget elementor-widget-text-editor\" data-id=\"79770af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>L\u2019arresto cardio-circolatorio extraospedaliero (OHCA)<\/strong><\/p><p>Evento abbastanza comune (275000\/anno Europa)<br \/>Mortalit\u00e0 molto elevata (sopravvivenza \u224810%), anche nei casi di approccio immediato con:<\/p><p>Tecniche rianimatorie cardiopolmonari (RCP)<br \/>Supporto vitale avanzato (ALS).<br \/>Supporti extra corporei<\/p><p>Nei casi di ACR in trattamento con ECMO, la TC \u00e8 in grado di fornire informazioni di fondamentale importanza per il decorso clinico-terapeutico.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f3eedc1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f3eedc1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-50d5a3b\" data-id=\"50d5a3b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e2d7d17 elementor-widget elementor-widget-text-editor\" data-id=\"e2d7d17\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ECMO Veno-Arterioso<br \/>Supporto extracorporeo per il sostegno vitale<br \/>Vicaria l\u2019azione cardiopolmonare<br \/>Avviene tramite cateterismi e pompe infusorie<br \/>Pazienti con emodinamica compromessa e alterata dal trattamento in atto.<br \/>Bypass fisiologico flusso cardiocircolatorio<br \/>Flusso sanguigno retrogrado caudo-craniale<br \/>Presenza di zone di confine<br \/>Sequestri e dirottamenti del mdc<br \/>Mimesi di patologie aortiche<br \/>possono causare artefatti nell\u2019imaging TC. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4bc42b4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4bc42b4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0c75914\" data-id=\"0c75914\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4406b0f elementor-widget elementor-widget-image\" data-id=\"4406b0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"455\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine1-8-1024x455.png\" class=\"attachment-large size-large wp-image-12733\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine1-8-1024x455.png 1024w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine1-8-300x133.png 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine1-8-768x341.png 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine1-8-1536x683.png 1536w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine1-8.png 2004w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0a8ab68 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0a8ab68\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-35ca61b\" data-id=\"35ca61b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d00b7ed elementor-widget elementor-widget-text-editor\" data-id=\"d00b7ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Protocollo di studio:<\/strong><\/p><p>Studio retrospettico osservazionale monocentrico<br \/>pazienti afferenti dal DEA e sottoposti a rianimazione cardiopolmonare extracorporea (ECPR) tramite ECMO-VenoArterioso:<\/p><p><strong>TC multifasica spirale (120Kv 400mA THK1.25mm) CR-CD, basale e fasi mdc (iodato 370mg\/ml non ionico, 4ml\/s vena centrale, arteriosa ROI Aorta prossimale, venosa 30-90\u2019\u2019).<\/strong><\/p><p>Analisi multivariata del campione. Valutazione posizione dei cateteri ECMO tramite riformattazioni multiplanari MPR e MIP.<br \/>Analisi dei fattori tecnici.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-47811c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"47811c3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b5b89d\" data-id=\"7b5b89d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3116105 elementor-widget elementor-widget-image\" data-id=\"3116105\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"623\" height=\"229\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine5-6.png\" class=\"attachment-large size-large wp-image-12734\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine5-6.png 623w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine5-6-300x110.png 300w\" sizes=\"(max-width: 623px) 100vw, 623px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91cee29 elementor-widget elementor-widget-image\" data-id=\"91cee29\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"654\" height=\"224\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine6-5.png\" class=\"attachment-large size-large wp-image-12735\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine6-5.png 654w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine6-5-300x103.png 300w\" sizes=\"(max-width: 654px) 100vw, 654px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dc51e50 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dc51e50\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-5a7f2bd\" data-id=\"5a7f2bd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e9ee2ea elementor-widget elementor-widget-image\" data-id=\"e9ee2ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"167\" height=\"265\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine3-7.png\" class=\"attachment-large size-large wp-image-12736\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-6952665\" data-id=\"6952665\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-93b1510 elementor-widget elementor-widget-image\" data-id=\"93b1510\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"490\" height=\"220\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-7.png\" class=\"attachment-large size-large wp-image-12737\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-7.png 490w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-7-300x135.png 300w\" sizes=\"(max-width: 490px) 100vw, 490px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c12de5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c12de5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a9b5b02\" data-id=\"a9b5b02\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-47369f3 elementor-widget elementor-widget-text-editor\" data-id=\"47369f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Risultati:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2e596a3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2e596a3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ce67ed4\" data-id=\"ce67ed4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9ed8a2c elementor-widget elementor-widget-image\" data-id=\"9ed8a2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"609\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine7-1-1024x609.png\" class=\"attachment-large size-large wp-image-12738\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine7-1-1024x609.png 1024w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine7-1-300x178.png 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine7-1-768x457.png 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine7-1.png 1154w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a9cec84 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a9cec84\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3877f1c\" data-id=\"3877f1c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-82dfe8f elementor-widget elementor-widget-text-editor\" data-id=\"82dfe8f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nell\u2019ipotesi di effetto \u201cfurto\u201d di mdc dal circolo polmonare, non \u00e8 stata dimostrata una dipendenza statisticamente significativa (Test di Fisher p=0.0699), tra la sua opacizzazione, e la distanza tra l\u2019apice del catetere di infusione mdc e quello della cannula inflow dell\u2019ECMO-VA femoro-femorale.<br \/>Bias di numerosit\u00e0 campionaria e di mancata standardizzazione del flusso di infusione ECMO.<br \/>Invece tra l\u2019opacizzazione del circolo polmonare e quella della parete del VS vi \u00e8 una correlazione statisticamente significativa (p=0.0344). La numerosit\u00e0 del campione, tuttavia, non ha permesso di eseguire un modello di regressione sul test effettuato che permetta di specificare la \u201cdirezione\u201d della correlazione.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ee55e3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ee55e3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f9e7f04\" data-id=\"f9e7f04\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-872466e elementor-widget elementor-widget-image\" data-id=\"872466e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"979\" height=\"1024\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine8-1-979x1024.png\" class=\"attachment-large size-large wp-image-12739\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine8-1-979x1024.png 979w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine8-1-287x300.png 287w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine8-1-768x803.png 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine8-1.png 1152w\" sizes=\"(max-width: 979px) 100vw, 979px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0c44669 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0c44669\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7fe8133\" data-id=\"7fe8133\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8eaf37c elementor-widget elementor-widget-text-editor\" data-id=\"8eaf37c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Conclusioni:<\/strong><\/p><p>Le strategie per ottimizzare l\u2019esame sono: ridurre il flusso ECMO per limitare la competizione con il circolo nativo e conseguenti artefatti, posizionare ROI nel vaso di interesse, trigger manuale, aumentare il volume mdc e\/o ridurre velocit\u00e0 del flusso (considerando che il tempo di circolo dell\u2019ECMO \u00e8 ridotto rispetto a quello fisiologico).\u000bIl TSRM in grado di valutare il sito di iniezione e il posizionamento della cannule ECMO \u00e8 in grado di eseguire correttamente una angio-TC, tenendo conto dei diversi timing e dei flussi \u201cnon convenzionali\u201d. Quanto emerso dovrebbe indurre i TSRM, in particolare quelli che si occupano di area critica, a familiarizzare sia con tutti i protocolli vascolari e cardiaci, sia con le marcate alterazioni emodinamiche che si verificano nei Pazienti trattati con supporti esterni.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>M. Scardino, M. Perusia, S. Veglia; Radiodiagnostica 2 DEA AOU Citt\u00e0 della Salute e della Scienza, Molinette, Torino mscardino@cittadellasalute.to.it L\u2019arresto cardio-circolatorio extraospedaliero (OHCA) Evento abbastanza comune (275000\/anno Europa)Mortalit\u00e0 molto elevata&hellip;<\/p>\n","protected":false},"author":2,"featured_media":12886,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[499,1],"tags":[318],"class_list":["post-12731","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bibliografia-e-linee-guida","category-news","tag-eposter2023"],"_links":{"self":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12731","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/comments?post=12731"}],"version-history":[{"count":9,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12731\/revisions"}],"predecessor-version":[{"id":12889,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12731\/revisions\/12889"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/media\/12886"}],"wp:attachment":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/media?parent=12731"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/categories?post=12731"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/tags?post=12731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}