[Sialendoscopy for obstructive salivary gland disease]
Luxardo R, Ciapponi A, Colaci C, Alfie V, García Martí S, Bardach A, Augustovski F, Alcaraz A, Pichon-Riviere A
Record ID 32018004406
Spanish
Original Title:
Sialoendoscopía en patología obstructiva de glándulas salivales
Authors' recommendations:
No studies comparing the use of gated single photon emission computed tomography (SPECT) vs. angiography to measure myocardial flow reserve in patients with suspected microvascular angina have been found. Very low-quality evidence obtained from an observational study (prospective cohort) does not allow to draw conclusions about the effectiveness/safety of dynamic gated SPECT, when compared with positron emission tomography (PET). Clinical practice guidelines and funders from high-income countries suggest measuring cardiac reserve by positron emission tomography (PET) to diagnose microvascular dysfunction in patients with stable coronary pain and non-obstructive heart disease who have been diagnosed using other methods; being this one the reference standard to measure flows and coronary microvascular resistance and to diagnose non-obstructive coronary disease. These guidelines do no recommend using gated SPECT with the usual markers, clarifying that this method might have its limitations and would be not assessing subendocardial ischemia. These guidelines mention adding Magnetic Resonance Imaging, Axial Multi-Slice Computed Tomography or dynamic gated SPECT to measure myocardial flow reserve. They suggest measuring vascular resistance in vasospastic microvascular angina using angiography with adenosine and acetylcholine. No cost-effectiveness studies have been carried out assessing these techniques for microvascular angina diagnosis.
Details
Project Status:
Completed
Year Published:
2022
URL for published report:
https://www.iecs.org.ar/publicacion/?id=21806
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Salivary Gland Diseases
- Salivary Gland Calculi
- Sialadenitis
- Salivary Ducts
- Endoscopy
- Minimally Invasive Surgical Procedures
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
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