在患有慢性病的患者中,零对比的左心房尾关闭
Tadatomo Fukushima1, Masato Fukunaga1, Akihiro Isotani1
1Department of Cardiology, Kokura Memorial Hospital.
概括
零对比的左心房尾关闭 (LAAC) 是慢性病 (CKD) 患者的安全和可行的选择. 这种方法避免了对比介质,降低了高风险个体损伤的风险.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 干预心脏病学 干预心脏病学
背景情况:
- 左心房尾关闭 (LAAC) 通常需要对比介质.
- 患有慢性病 (CKD) 的患者面临较高的对比诱导病的风险.
- 这项研究解决了对慢性病患者更安全的LAAC程序的需求.
研究的目的:
- 评估在患有CKD的患者中不使用对比剂进行LAAC的安全性和可行性.
- 为了确定零对比度方法是否是这种高风险人群的可行替代方案.
主要方法:
- 零对比的LAAC在15名被诊断为CKD阶段3b-5的患者中进行.
- 参与该研究的患者没有接受血液透析.
- 所有程序都被监控,以检测周边程序并发症.
主要成果:
- 所有尝试的零对比LAAC程序都成功完成.
- 在干预期间或干预后立即没有记录任何外围手术并发症.
- 在45天的随访中,没有发现与设备相关的并发症或急性损伤的情况.
结论:
- 零对比的LAAC提供了一个可接受的策略来管理患有CKD的患者.
- 这种技术可以最大限度地降低弱势患者对比性病的风险.
- 这些发现支持在精选的CKD种群中采用零对比的LAAC.
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