Postmortem angiography using femoral cannulation and postmortem microbiology.

Détails

ID Serval
serval:BIB_F4201B022555
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Postmortem angiography using femoral cannulation and postmortem microbiology.
Périodique
International Journal of Legal Medicine
Auteur(s)
Palmiere C., Egger C., Grabherr S., Jaton-Ogay K., Greub G.
ISSN
1437-1596 (Electronic)
ISSN-L
0937-9827
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
129
Numéro
4
Pages
861-867
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Despite the undeniable advantages of postmortem angiography, numerous questions have arisen concerning the influence that the injected contrast media may exercise on biological fluids and tissues collected for toxicological and biochemical investigations. Moreover, cardiac blood for microbiological investigations cannot be obtained post-angiography. In this study, we examined whether the peripheral blood collected prior to postmortem angiography, using percutaneous access to femoral vessels after skin surface disinfection, could be suitable for microbiological investigations when postmortem angiography with femoral vessel cannulation is also performed. A total of 66 cases were included in the study and were divided into two subgroups (angiography and bacteriology group, 33 cases and control group, 33 cases). Autopsies, histology, toxicology, bacteriology, and biochemical investigations (procalcitonin, C-reactive protein, interleukin-6, and soluble triggering receptors expressed on myeloid cells type 1) were performed in all cases. No statistically significant differences between the two groups were noted, and identified category distribution (death unrelated to infection, true infection, false positive, and undetermined) was rather similar in both studied populations. These preliminary results suggest that postmortem angiography using a femoral approach does not constitute an impediment to the collection of peripheral blood for microbiology and vice versa. Moreover, the use of femoral blood for microbiology does not lead to an increased risk of doubtful results.
Mots-clé
Adult, Aged, Angiography, Bacterial Translocation, Blood/microbiology, C-Reactive Protein/analysis, Calcitonin/blood, Case-Control Studies, Catheterization, Female, Femoral Artery, Femoral Vein, Forensic Pathology, Humans, Interleukin-6/blood, Male, Membrane Glycoproteins/blood, Middle Aged, Prospective Studies, Protein Precursors/blood, Receptors, Immunologic/blood, Young Adult
Pubmed
Web of science
Création de la notice
10/11/2014 10:56
Dernière modification de la notice
03/03/2018 22:43
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