对冠状动脉血管图进行血管接入的超声指导:随机对照试验的元分析
Tzvi Fishkin1, Ameesh Isath1, Hafeez Ul Hassan Virk2
1Department of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, New York.
The American journal of cardiology
|September 8, 2023
概括
超声波 (美国) 引导增加了冠状动脉血管学期间血管接入的第一次尝试的成功率,减少了静脉穿刺. 然而,美国并没有显著减少血液瘤或出血等整体血管并发症.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预程序 干预程序
背景情况:
- 穿皮冠状动脉干预 (PCI) 需要血管接入,这可能会影响患者的治疗结果.
- 传统的方法依赖于地标,脉冲或光镜以获得血管接入.
- 超声波 (US) 指导越来越多地用于干预手术,包括心脏导管.
结论:
- 这一元分析支持美国对冠状动脉血管学血管接入的指导,因为第一次尝试的成功率更高,静脉穿刺减少.
- 在主要血管并发症 (血瘤,伪动脉瘤,出血) 中没有发现显著差异.
- 需要进一步的研究,以减轻与冠状动脉血管学相关的出血并发症.
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