血纤维素变化作为预测器在导管导向血栓溶解期间的主要出血
Trevor Dorey1, Daniel Kong2, Wendy Lobo3
1General Surgery-Anne Arundel Medical Center, Annapolis, MD.
Annals of vascular surgery
|October 6, 2023
概括
血纤维素水平 (PFLs) 在导管血栓溶解期间不会预测严重出血. 显著降低PFL,而不是特定的值,与出血并发症有关,这表明"50-150规则"可能会提高安全性.
科学领域:
- 心血管医学 心血管医学
- 血液学 血液学 血液学
- 干预性放射学 干预性放射学
背景情况:
- 调查血纤维素水平 (PFLs) 与导管血栓溶解期间严重出血之间的关系.
- 评估额外的预测因素,如溶解持续时间和tPA剂量,以预测出血结果.
结论:
- 绝对PFL不是导管导向溶解期间大出血的独立预测指标.
- 在PFL的百分比变化与出血风险相关,支持纤维素降解凝血病.
- 一个小小的东西.
- 50-150 规则 规则 规则 规则
- (≥150 mg/dL或≥50%的PFL降低) 可以减少出血并发症.
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