慢性全封闭性冠状动脉干预的指导原则
Emmanouil S Brilakis1, Kambis Mashayekhi2, Etsuo Tsuchikane3
1Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, MN (E.S.B., M.N.B.).
Circulation
|July 30, 2019
概括
通过皮肤冠状动脉干预 (PCI) 改善了慢性全封闭 (CTO) 的七种最佳实践. 采用这些原则,包括先进的技术和操作人员的专业知识,对于成功的CTO-PCI和更好的患者结果至关重要.
科学领域:
- 心脏病学
- 干预心脏病学
背景情况:
- 由于设备和技术的进步,慢性全遮 (CTO) 穿皮冠状动脉干预 (PCI) 的结果显著改善.
- 全球合作导致了CTO-PCI广泛接受的最佳实践.
研究的目的:
- 概述7个代表CTO-PCI最佳实践的共同原则.
- 强调这些原则对于实现高成功率和管理并发症的重要性.
主要方法:
- 通过全球合作和知识共享,确定和综合CTO-PCI的7个指导原则.
- 复查已知技术,包括双冠状动脉扫描,微导管使用,前级和后级方法,以及病变准备.
主要成果:
- 这七个原则包括指示,规划,导线操作,交叉策略,技术适应,操作人员专业知识和支架.
- 经验丰富的操作人员和坚持这些原则的中心取得了高的成功率和可接受的并发症率.
结论:
- 广泛采用这七个原则对于改善CTO-PCI结果至关重要.
- 需要进一步的研究,教育和培训,以开发更简单,更安全的CTO穿越和再血管化策略,并加强缺乏经验的中心的采用.
相关概念视频
The Uncertainty Principle
31.4K
Werner Heisenberg considered the limits of how accurately one can measure properties of an electron or other microscopic particles. He determined that there is a fundamental limit to how accurately one can measure both a particle’s position and its momentum simultaneously. The more accurate the measurement of the momentum of a particle is known, the less accurate the position at that time is known and vice versa. This is what is now called the Heisenberg uncertainty principle. He...
31.4K
Hardy-Weinberg Principle
76.0K
Diploid organisms have two alleles of each gene, one from each parent, in their somatic cells. Therefore, each individual contributes two alleles to the gene pool of the population. The gene pool of a population is the sum of every allele of all genes within that population and has some degree of variation. Genetic variation is typically expressed as a relative frequency, which is the percentage of the total population that has a given allele, genotype or phenotype.
76.0K
The Pauli Exclusion Principle
59.0K
The arrangement of electrons in the orbitals of an atom is called its electron configuration. We describe an electron configuration with a symbol that contains three pieces of information:
59.0K
Nursing Interventions I: Taxonomy of Nursing Interventions
3.6K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.6K
The Aufbau Principle and Hund's Rule
72.3K
To determine the electron configuration for any particular atom, we can build the structures in the order of atomic numbers. Beginning with hydrogen, and continuing across the periods of the periodic table, we add one proton at a time to the nucleus and one electron to the proper subshell until we have described the electron configurations of all the elements. This procedure is called the aufbau principle, from the German word aufbau (“to build up”). Each added electron occupies the...
72.3K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.1K


