まとめ
解剖や栓塞などの冠動脈動脈検査の合併症は,患者の0.4%で発生しました. ジャドキンステクニックは,ソーンズテクニックよりも低度の急性閉塞率を示し,最近のジャドキンス手順では閉塞はありませんでした.
科学分野:
- 心臓病学 心臓病学
- 介入性心臓病学 介入性心臓病学
- 血管外科 血管外科
背景:
- 冠動脈動脈撮影は,冠動脈を視覚化するための診断手順です.
- 処置中に急性冠動脈解剖や栓塞などの合併症が発生することがあります.
- 異なるテクニックは,異なる合併症率を持つ可能性があります.
研究 の 目的:
- 冠動脈動脈撮影中に急性冠動脈解剖および栓塞の発生率を決定するために.
- ソーンズ・テクニックとジャドキンス・テクニックの合併症率を比較する.
- 動脈撮影中に急性冠動脈イベントを経験した患者のアウトカムを評価するために.
主な方法:
- 1970年から1974年の間に冠動脈動脈撮影を受けた2981人の患者の遡及的分析.
- 合併症の種類 (解剖,栓塞,閉塞) および関連する技術による分類 (ソーンズ,ジャドキンズ).
- 急性冠動脈イベントの患者の管理とアウトカムのレビュー.
主要な成果:
- 急性冠動脈解剖または栓塞の全体的な発生率は0.4%であった.
- Sonesテクニックは0.19%の急性閉塞率,Judkinsテクニックは0.88%の急性閉塞率を示した.
- 最終的な490件のジャドキンスの処置では急性閉塞は報告されなかったが,解剖/栓塞を治療した8人の患者は,医学的に発症した心筋梗塞を患った.
結論:
- ジャドキンズ技術は,研究期間中にソーンズ技術と比較して,急性閉塞の発生率が低いことを実証しました.
- 解剖/栓塞の医療管理は生存につながったが,心筋梗塞は一般的な後遺症であった.
- 重篤な合併症に対する緊急バイパス移植は,間に合った介入にもかかわらず,トランムラル心筋梗塞を引き起こしました.
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