对膜和心脏植入式电子设备感染性内心炎的皮肤通用机械吸收进行范围审查

相关实验视频

Updated: Jul 18, 2025

08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

1.7K

Ahmad Mourad¹, Molly Hillenbrand¹, Lesley A Skalla²

¹Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USA.

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases

|August 27, 2023

概括

穿皮机械吸收 (PMA) 为具有高手术风险的感染性内心炎 (IE) 患者提供了一种新的方法. 这次审查突出了PMA的重点.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
传染病传染病传染病

背景情况:

穿皮机械吸血 (PMA) 是一种新兴的策略,用于管理高风险患者感染性内心炎 (IE).
传统的心脏手术对这些患者构成重大风险.
在IE管理中PMA的明确指示和结果在很大程度上仍未定义.

研究的目的:

对IE进行PMA现有文献的全面范围审查.
总结患者的特征,程序细节和与IE中PMA相关的结果.
确定有关IE管理的PMA当前知识的差距.

主要方法:

在 MEDLINE,Embase 和 Web of Science 数据库中进行系统的文献搜索.
包括到2023年2月21日发表的研究,重点是用于心脏植入式电子设备 (CIED) 或膜IE的PMA.
由两个独立的审稿人进行数据提取;采用了描述性数据合成.

主要成果:

对51项涉及294名接受IEPMA治疗的患者的研究进行了审查.
超过50%的患者接受了PMA,以便在提取之前去除CIED植被.
住院死亡率为6.5%,报告的手术并发症很少.

结论:

在IE患者护理方面,PMA是一个有前途的进步.
进一步高质量的研究是建立最终的患者结果和优化PMA利用的必要条件.
需要更多的数据来指导IE中PMA的临床决策.

关键词:

在AngioVac中使用.感染性内心炎感染性内心炎通过皮肤进行机械吸收.进行了植物切除术 (vegectomy).

相关概念视频

01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...

01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...

01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...

01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...

01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...