放射性冠動脈の手続きの後の3つのTRバンドデフレーションプロトコルの比較:将来的なランダム化試験
Ebtisam A Elhihi1,2, Rudaynah H Alromaili3, Sadakhathulla Valiyapeediakkal3
1Nursing Research and Evidence-Based Practice Department, King Abdullah Medical City, Makkah, Saudi Arabia.
まとめ
3つのトランス・ラディアル (TR) バンド・デフレーション・プロトコルを比較して,早期開始戦略は,放射線動脈閉塞を増加させることなく,放射線冠動脈手術後の出血合併症を効果的に軽減しました. ルーティンプロトコルはより速かったが,早期の出血事件と関連していた.
科学分野:
- 心臓病学 心臓病学
- 血管外科 血管外科
背景:
- 半径動脈静止は,トランス-半径手術の際に極めて重要です.
- 放射線動脈閉塞は,放射線アプローチに関連するリスクです.
- 特許を取得した血液静止術は,放射性動脈の通路性を維持することを目的としています.
研究 の 目的:
- 三つのトランス・ラジアル (TR) 帯のデフレーションプロトコルを比較するために:長い間隔で早期開始,短い間隔で遅延開始,およびルーティンプロトコル.
- 放射性冠動脈の手続きのための最適のTR帯デフレーション戦略を決定する.
主な方法:
- ランダム化制御試験で,トランス放射性冠動脈手術を受ける207人の心臓患者さんを対象に実施した.
- 特定の空気注入量を持つ特許の血液静止技術を使用しました.
- 患者はランダムに3つのグループに分けられ,TR帯の除去時間,出血合併症,放射線動脈閉塞を評価した.
主要な成果:
- 放射線動脈閉塞の発生は,どのグループでも観察されなかった.
- 初期のプロトコル (プロトコルC) は,TRバンドの平均除去時間を大幅に短縮しました.
- 出血率はグループごとに似ていたが,初期のプロトコルは最初の1時間以内に出血が減少する傾向を示した.
結論:
- 初期のTRバンドデフレーションプロトコルは,出血の合併症を最小限に抑えるのに最も効果的であることが示されています.
- ルーティンプロトコルは,より迅速な除去を提供しますが,早期出血と関連しています.
- 放射線動脈の開通性を維持することは,適切な血静止法で達成可能である.
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