线圈栓塞用于冠状动脉手术:基础知识,指示和技术.
Shu Xian Loh1, Emmanuelle Brilakis2, Gabriele Gasparini3
1Cardiothoracic Department, Freeman Hospital, Newcastle upon Tyne, UK.
概括
干预性心脏病学使用线圈进行关键程序,如封闭冠状动脉穿孔. 通过微导管进行适当的线圈选择和输送对于患者的安全和程序的成功至关重要.
科学领域:
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 卷轴是干预心脏病学中必不可少的工具,提供拯救生命的干预措施.
- 线圈的分类包括材料类型 (光金属,纤维涂层,凝涂层) 和输送方法 (可喷涂,可拆卸).
研究的目的:
- 在干预性心脏病学中提供线圈利用的全面概述.
- 突出线圈选择,输送和临床应用的关键方面.
- 强调培训和教育对于有效使用线圈的重要性.
主要方法:
- 关于心血管线圈的当前文献和临床实践的审查.
- 基于材料组成和部署机制的线圈的分类.
- 讨论临床指示,分娩技术和潜在的并发症.
主要成果:
- 线圈的选择需要仔细考虑微导管的兼容性,以确保成功的输送和防止损坏.
- 关键的适应症包括冠状动脉穿孔的急性管理和动脉动脉瘤,囊和CABG后盗窃综合征的选择性治疗.
- 在线圈部署期间,光学指导是强制性的.
结论:
- 有效地使用心血管线圈需要对设备的选择和输送技术给予细致的注意.
- 与线圈使用相关的并发症需要定期随访和患者监测.
- 加强教育和实践培训对于干预心脏病专家来说至关重要,以管理复杂和罕见的线圈相关场景.
相关概念视频
Cardiac Catheterization I: Pre-Procedure Overview
56
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...
56
Cardiac Catheterization III: Left Heart Catheterization
56
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
56
Coronary Artery Disease V: Interprofessional Care
9
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
9
Cardiac Catheterization IV: Nursing Management
54
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
54
Pulmonary Embolism I: Introduction
7
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
7
Imaging Studies for Cardiovascular System V: CT
41
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
41


