心脏起器是患者可能需要中央静脉接入口的潜在问题来源
Marek Czajkowski1, Anna Polewczyk2,3, Wojciech Jacheć4
1Department of Cardiac Surgery, Medical University of Lublin, Lublin, Poland.
Cardiovascular diagnosis and therapy
|January 1, 2024
概括
在患有心脏植入式电子设备 (CIED) 的患者中,依赖性静脉阻塞很常见,可能会阻碍中央静脉接入装置 (CVAD) 的放置. 在这些患者的CVAD插入之前,建议进行静脉扫描.
科学领域:
- 心血管医学 心血管医学
- 干预性放射学 干预性放射学
- 血管接入 血管接入
背景情况:
- 依赖性静脉阻塞 (LDVO) 可以使中央静脉接入装置 (CVAD) 的插入复杂化.
- 心脏植入式电子设备 (CIED) 经常与静脉狭窄有关.
研究的目的:
- 评估在CIED患者中成功植入CVAD的可能性.
- 评估CIEDs对CVAD安置静脉通透性的影响.
主要方法:
- 追溯队列研究分析了从经过静脉取 (TLE) 的患者中3,075个静脉图.
- 评估了静脉通透性与成功安置CVAD之间的关系.
- 与CIED放置相比,对ipsilateral和contralateral两侧的评估静脉狭窄.
主要成果:
- 75.38%的患者没有表现出 ipsilateral CVAD 端口植入的静脉学障碍.
- 在CIED左侧,显著的下静脉狭窄比头静脉狭窄 (28.63%) 更频繁 (55.29%).
- 对侧静脉狭窄发生在少数患者中 (例如,下静脉的35 (2.35%).
- 在75.38% (两侧) 和97.91% (两侧) 的病例中,CVAD插入被认为很容易,在16.62% (两侧) 的病例中,难度或不可能.
结论:
- 在CIED患者中,依赖于的静脉阻塞是常见的发现.
- 反侧侧的胸静脉也可以显著缩小.
- 建议在CIED患者的CVAD插入前进行手术前静脉扫描,特别是那些长时间停留或CIED后移除的患者.
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