在低和高的威尔金斯分数之间进行皮肤穿透静脉部委托切除术的比较结果
Mohammad Alidoosti1, Babak Sattartabar1, Hamidreza Pourhoseini1
1Tehran Heart Center, Interventional Cardiology Departement, Tehran University of Medical Sciences, Tehran, Iran.
Asian cardiovascular & thoracic annals
|July 10, 2023
概括
威尔金斯得分可能不适合选择皮肤穿透静脉中部委托切除术 (PTMC) 的患者. 这项研究发现,在威尔金斯分数高于和低于8的患者中,PTMC的结果类似,这表明需要新的选择标准.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 皮肤穿透静脉部委托切除术 (PTMC) 是对部狭窄的手术的一种不那么侵入性的替代方案.
- 威尔金斯得分 (≤8) 通常用于PTMC的患者选择.
- 有证据表明,在威尔金斯得分较高的患者中,PTMC可能会成功.
研究的目的:
- 为了比较PTMC患者的结果,威尔金斯得分 ≤8 与>8.8 相比.
- 评估威尔金斯分数切断值8对PTMC患者选择的适用性.
主要方法:
- 从2011年4月至2019年12月接受PTMC的患者的回顾性分析.
- 患者被分为两组:威尔金斯得分≤8 (n=196) 和威尔金斯得分>8 (n=134).
- 评估的结果包括心声回声和导管测量,并发症率.
主要成果:
- 两组之间在干预前和干预后的血液动力学或门测量中没有显著差异.
- 副腹是最常见的并发症,两组之间没有显著差异.
- 严重的并发症,如中风和心律失常是罕见的 (<1%),并且在两组中都相似.
结论:
- 8的威尔金斯分数切断值对于选择PTMC患者来说不是最佳的.
- 为了改善PTMC患者的选择,需要采用结合 mitra 的特征和其他变量的新标准.
相关概念视频
Mitral Stenosis III: Medical Management
13
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13
Mitral Valve Prolapse II: Assessment and Management
23
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
23
Mitral Regurgitation III: Medical Management
19
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
19
Mitral Stenosis II: Clinical features and Diagnostic Tests
23
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
23
Mitral Stenosis I: Introduction
18
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
18
Mitral Regurgitation I: Introduction
18
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
18


