在心房的患者中,在导管切除之前,左侧部的计算机断层扫描在导管切除之前
Bauyrzhan Bakhytovich Kaliyev1, Raushan Ibzhanovna Rakhimzhanova2, Valentin Evgenyevich Sinitsyn3
1National Research Cardiac Surgery Center, Department of Interventional Cardiology and Radiology, Ministry of Health of the Kazakhstan.
Kardiologiia
|July 20, 2023
概括
心脏计算机断层扫描血管造影 (CCTA) 有效地诊断心房动患者心房动前的左心房附属体 (LAA) 血栓. 这种成像技术还可以预测血栓形成风险,有助于临床决策.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 心房动增加了中风的风险,由于左心房附属体 (LAA) 血栓.
- 在导管切除之前,准确的LAA血栓检测至关重要.
研究的目的:
- 评估心脏计算机断层扫描血管学 (CCTA) 在诊断LAA血栓在左侧位的疗效.
- 为了确定与LAA血栓形成相关的风险因素.
主要方法:
- 对101名心房患者进行了回顾性队列研究.
- 横胸心声学 (TTE) 的比较,左侧垂体CCTA,和横食心声学 (TEE).
- 计算CHA2‐DS2‐VASc和HAS-BLED分数的方法.
主要成果:
- CCTA准确地检测到LAA血栓,由TEE证实.
- 较高的CHA2-DS2-VASc和HAS-BLED得分,左心脏扩大 (LA),以及与血栓存在相关的特定LA尺寸.
- LAA的花菜形状,增加的LAA体积和LAA的前后直径是血栓和脑梗塞的重要预测因素.
结论:
- 左侧结CCTA是在心房动前检测LAA血栓的最佳查工具.
- CCTA证明了LAA血栓形成风险的预测价值.
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