常规的成功后关闭血管造影,以检测血液输血TAVR之后的血管并发症
Panagiotis Savvoulidis1, Adnan M Nadir1,2, Anthony Mechery1
1Department of Cardiology, Queen Elizabeth University Hospital, Birmingham, UK.
经过输血管穿管大动脉置换 (TAVR) 后的常规辐射动脉血管造影是可行的和安全的. 这种成像技术有助于早期检测和管理血管并发症,可能降低患者的发病率.
科学领域:
- 心脏病学 心脏病学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 血液输血TAVR后的血管并发症增加了患者的发病率和死亡率.
- 识别和减轻这些风险对于改善TAVR结果至关重要.
研究的目的:
- 评估通过放射性动脉进行例行外皮切除后血管造影的实用性.
- 评估其在检测和管理TAVR患者的血管并发症方面的有效性.
主要方法:
- 对512名接受移植TAVR的患者进行了回顾性分析.
- 通过放射性动脉进行的常规后访问闭塞血管造影.
- 使用Valve学术研究联盟3个定义记录血管并发症.
主要成果:
- 91%的患者 (467/512) 接受了成功的放射性动脉血管造影.
- 在7.7%的DSA病例中发生了轻微的阴外流,经过保守的管理.
- 主要和轻微的访问部位并发症分别为0.4%和12.2%;干预是罕见的 (0.9%的出血,1.7%的缺血).
结论:
- 在TAVR后的常规辐射动脉血管造影是可行的和安全的.
- 它使血管并发症的早期识别和及时管理成为可能.
- 建议通过更大规模的研究进行进一步的研究,以验证这些发现.
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