まとめ
肺動脈カテーテライゼーション後のアセプティック・トロンボティック・エンドカルディア vegetations (TEV) は評価されました. スワン・ガンツカテーテルを装着した患者は,他のグループと比較してTEVの発生率が著しく高かった.
科学分野:
- 心血管病理学 心血管病理学
- 医療機器による合併症 医療機器による合併症
- 血栓性疾患 血栓性疾患 血栓性疾患 血栓性疾患 血栓性疾患 血栓性疾患 血栓性疾患 血栓性疾患
背景:
- アセプティック・トロンボティック・エンドカルディア vegetations (TEV) は,侵襲的処置の潜在的な合併症である.
- 肺動脈カテーテリゼーション,特にスワン・ガンツカテーテルによるカテーテリゼーションは,集中治療において広く使用されています.
- TEVの発生率とリスク要因については,さらなる調査が必要である.
研究 の 目的:
- 肺動脈カテーテリゼーションを受ける患者の無菌性血栓性内心植生 (TEV) の発生率を決定する.
- スワン・ガンツ・カテーテルを使用した患者におけるTEVの発生率を,他の中枢血管カテーテルおよびカテーテルを使用していない患者と比較する.
主な方法:
- 2年間の解剖報告書の遡及的レビュー.
- アセプティックなTEVの症例を特定するために,413の解剖を分析した.
- 患者の分類は,使用された中枢血管キャセターのタイプ (スワンガンツ,他の中枢静脈,または無) に基づいています.
主要な成果:
- 413件の解剖で5件の無菌性TEVが確認された.
- TEVは,スワン・ガンツ・キャセターを使用した88人の患者のうち3人に発生しました.
- 中枢静脈カテーテルを使用した患者 (1/120) とカテーテルを使用していない患者 (1/205) の間では,TEVの発生率が低かった.
結論:
- アセプティック・トロンボティック・エンドカルディアル・ベゲテーション (TEV) の発生率は,スワン・ガンツ・キャテーテルを施した患者で著しく高い.
- Swan-Ganzキャセテリゼーションは,TEVを発症するリスクの増加と関連しています.
- スワン・ガンツ・キャセターを持つ患者におけるTEVの予防戦略に関するさらなる研究が必要である.
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