Cisterna chyli in patients with malignancy—Influence of cardiovascular disease on the prevalence of the cisterna
| Autor: | Jochen Stolz, Rainer Muche, Sebastian Feuerlein, M Hetzel, Oliver Klass, Sandra Pauls, Hans-Juergen Brambs |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Contrast Media Vena Cava Inferior Inferior vena cava Thoracic Duct Coronary artery disease Neoplasms medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies business.industry Central venous pressure Cisterna chyli General Medicine Middle Aged Cisterna medicine.disease Iopamidol Logistic Models medicine.anatomical_structure medicine.vein Cardiovascular Diseases Azygos Vein Heart failure Abdomen Female Radiology Azygos vein Tomography X-Ray Computed business |
| Zdroj: | European Journal of Radiology. 79:262-265 |
| ISSN: | 0720-048X |
| Popis: | The purpose of this study was to investigate the potential correlation between the presence and size of the cisterna chyli (CC) on computed tomography (CT) and the presence of cardiovascular disease. Materials and methods Out of a 3000-patient cohort 2599 patients who received a CT examination of the chest and/or abdomen with measurable inferior vena cava and azygos vein were included in this retrospective study. To assess the presence of cardiovascular disease the following parameters were recorded from the PACS or clinical information system: diameter of vena cava and azygos vein, presence of ascitis, serum creatinine, history of congestive heart failure, coronary artery disease or arterial hypertension and medication (diuretics, beta-blocker). In addition the volume of the CC and the presence or absence of malignant disease were recorded. Mean values (vessel diameters, creatinine) or percentages were calculated and compared for the groups with (n = 416) and without (n = 2183) a cisterna. Multivariate logistic regression analysis was performed for all parameters to identify the potential association with the presence and size of a cisterna. In addition the simultaneous influence of the parameter malignancy, cardiovascular disease and age on presence and size of the CC was analyzed in a logistic regression model. Results The presence or absence of a CC was not associated with any of the measured parameter. Regarding the size of the CC, there was a positive correlation with the diameter of the azygos vein, the presence of ascitis and diuretic medication. The influences of malignancy, elevated central venous pressure and age on the development of a CC proved to be highly significant but could not be separated or quantified. Conclusion The volume of the cisterna chyli is influenced by pathologic states with an increased central venous pressure, while the presence or absence of the cisterna seems to be independent of those factors. |
| Databáze: | OpenAIRE |
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