在大动脉根手术期间手术放置的放射性不透明标记物对促进二次诊断和治疗干预措施的影响
Emmanuel Zimmer1,2,3, Maria Nucera4,5,6, Clarence Pingpoh4,5,6
1Department of Cardiac Surgery, Cardiovascular Center, Inselspital University Hospital Bern, Bern, Switzerland. emmanuel.zimmer@insel.ch.
Journal of cardiothoracic surgery
|September 26, 2023
概括
在大动脉根手术期间,手术放置的放射性暗淡标记物不会增加手术风险. 这些标记物可能有助于简化未来的手术,如冠状动脉血管学或透导管大动脉植入等.
科学领域:
- 心血管外科心血管外科
- 医疗成像医学成像
- 干预心脏病学 干预心脏病学
背景情况:
- 大动脉根手术可能需要后续手术,如冠状动脉血管学或透导管大动脉植入.
- 在手术期间植入的放射性不透明标记物可能有助于这些后续干预.
研究的目的:
- 评估手术放置的放射性不透明标记物对手术特征和血管检查结果的影响.
- 为了确定标记物植入是否影响手术风险或需要术后血管造影.
主要方法:
- 对469名接受大动脉根手术的患者 (2008-2020年) 的回顾性分析.
- 具有 (n=182) 和没有 (n=287) 放射性不透明标记物的患者之间的结果比较.
- 倾向性得分匹配创建匹配组 (每组n=28) 用于详细分析.
- 亚组分析的重点是接受术后冠状动脉血管造影的患者.
主要成果:
- 两组之间大动脉交叉合时间没有统计学上显著的差异 (p=0.09).
- 术后血管造影需要的比例相似 (11.8%与15.4%,p=0.27).
- 在血管造影期间,辐射时间 (p=0.62) 或对比介质体积 (p=0.07) 没有显著差异.
结论:
- 在大动脉根手术中,手术植入的放射性遮标记物不会增加手术风险.
- 这些标记物显示出促进后续诊断和治疗程序的潜力.
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