前庭隔膜缺陷封闭器装置栓塞:第三级护理心脏中心的经验
Sandeep Garre1, Shrinivas Gadhinglajkar2, Rupa Sreedhar2
1Department of Anaesthesiology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India.
Annals of cardiac anaesthesia
|September 14, 2023
概括
在心房隔膜缺陷 (ASD) 关闭期间装置栓塞是一种罕见但严重的并发症. 本研究分析了ASD器件栓塞的风险因素和结果,强调了检索方法和潜在的并发症.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 对于心房隔膜缺陷 (ASD) 的皮肤穿戴器件关闭越来越常见.
- 装置栓塞是ASD闭塞的罕见但危及生命的并发症.
研究的目的:
- 分析设备栓塞的危险因素.
- 识别常见的栓塞部位和相关的并发症.
- 评估栓塞设备的治疗策略.
主要方法:
- 在第三级推中心对患有栓塞性ASD设备的患者进行了回顾性分析.
- 收集关于程序前,程序内和程序后事件的数据.
- 分析风险因素,栓塞部位,并发症,时间和治疗.
主要成果:
- 30个器件栓塞;13个通过皮肤取出,17个通过手术取出.
- 在14名患者中观察到不良的隔膜形态.
- 器件栓塞到各种心室和大血管;罕见的并发症包括IVC撕裂和空气栓塞.
结论:
- 设备栓塞显著增加了程序风险.
- 手术检索可能需要复杂的干预措施,如循环停止.
- 致命的气栓塞是一种罕见但可能的结果.
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