在接受皮肤三管更换或修复的患者中进行管理:一种"心脏团队"的方法
James K Gabriels1, Robert D Schaller2, Elana Koss3
1Department of Cardiology, Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital, 300 Community Drive, Manhasset, NY, USA.
概括
患有心脏植入式电子设备 (CIED) 的患者经常出现三腹吐 (TR). 在这些患者中,管理TR需要仔细考虑通过静脉取 (TLE) 和皮肤三门干预措施.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 临床上显著的三吐 (TR) 是通过医疗或手术来管理的.
- 皮肤穿透导管三门 (TV) 干预是新兴的替代方案.
- 患有心脏植入式电子设备 (CIED) 的患者有更高的TR发病率,通常是由于与电视的相互作用.
研究的目的:
- 审查CIED患者中TR的原因.
- 讨论在CIED患者中治疗TR的治疗选择.
- 倡导领导管理专家参与治疗决策.
主要方法:
- 现有文献的最新审查.
- 在CIED患者中分析TR原因和治疗方法.
- 讨论皮肤透视干预和透静脉取 (TLE) 的讨论.
主要成果:
- CIED的线索可以使TR的严重程度恶化或改善.
- 在皮穿式电视干预期间监禁线索带有风险 (骨折,感染).
- 穿皮TV干预之前的TLE可能是有益的.
结论:
- 在CIED患者中对TR的治疗需要采用多学科的方法.
- 领导管理专家是心脏团队的关键成员.
- 需要仔细考虑TLE和穿皮TV干预措施.
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