相关实验视频

Updated: Jul 23, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

患有心脏病相关动脉大血栓的患者的双重保护 - - 一个单中心的回顾性研究

Piotr Chodór¹, Grzegorz Honisz¹, Krzysztof Wilczek²

¹Silesian Center for Heart Diseases, Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Zabrze, Poland.

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology

|July 19, 2023

概括

使用手动血栓切除术与远端保护装置的双重保护 (DP) 是一种安全且可行的方法,用于患有巨型血栓 (MT) 的ST段升高心肌梗塞 (STEMI) 的患者. 需要进一步的研究来证实其在改善这些关键心脏事件的结果方面的有效性.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
血管医学血管医学

背景情况:

ST段升高心肌梗塞 (STEMI) 涉及动脉样硬化斑块上的血栓形成.
在STEMI中,大规模血栓 (MT) 可以导致严重的并发症,如广泛的心肌梗塞 (MI) 和阻碍再输.
目前对冠状动脉血栓存在治疗方法,但双重保护 (DP) 的有效性,将手动血栓切除术 (MTH) 与远程保护装置 (DPD) 结合起来,仍未评估.

研究的目的:

评估在出现STEMI和MT的患者中双重保护 (DP) 策略的结果.
评估DP作为MT治疗STEMI的安全性和可行性.

主要方法:

一项研究包括十四名被诊断患有STEMI和MT的患者.
所有患者都使用DP技术进行了初级穿皮冠状动脉干预 (PPCI).
DP涉及手动血栓切除术 (MTH) 与远端保护装置 (DPD) 相结合.

主要成果:

较低级心脏病发作很普遍,影响了12名 (85.8%) 患者.
在13名 (92.8%) 患者中进行了支架植入.
观察到高血栓负担,在11名 (78.6%) 和3名 (21.4%) 心肌梗塞 (TIMI) 血栓5级患者中发现了高血栓负担,血栓的中位长度为39.1毫米.
在11名 (78.6%) 患者中实现了完整的再输血 (TIMI流量3),TIMI流量为3分之2 (21.4%).
在5名 (35.7%) 患有TIMI流量3的患者中,观察到心肌血红3级.
显著的ST段升高分辨率 (>50%) 在13名 (92.8%) 患者中发生.
没有报告心肌断裂,中风或死亡等在医院的不良事件.

结论:

双重保护 (DP) 策略,包括MTH和DPD,是管理STEMI和MT患者的安全和可行的程序选项.
虽然初步结果表明安全性,但需要进一步进行广泛的研究和临床试验,才能最终确定DP在改善患者长期结果方面的有效性.

关键词:

ST段升高心肌梗塞的心脏病发作远距离保护装置的使用方法手动血栓切除手术是指手动的血栓切除手术.大规模的血栓形成.通过皮肤进行的初级冠状动脉干预.

更多相关视频

Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli

Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli

Published on: September 25, 2016

A Fibrin-Enriched and tPA-Sensitive Photothrombotic Stroke Model

A Fibrin-Enriched and tPA-Sensitive Photothrombotic Stroke Model

Published on: June 4, 2021

相关概念视频

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...

Venous Thrombosis III: Interprofessional Care

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...