尾部光学指导用于插入跨静脉节奏导线
Matthew B Morton1, Jeremy William1, Peter M Kistler1
1Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia.
Journal of cardiovascular electrophysiology
|January 11, 2024
概括
与标准AP视图相比,用于心脏器件插入的尾尾光学指导显著降低了肺胸风险. 这种成像技术还减少了在手术期间对比静脉图的需要.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预程序 干预程序
背景情况:
- 肺胸炎是心脏植入式电子设备 (CIED) 插入的已知并发症.
- 前后 (AP) 光镜对于关节下/关节进入是常见的,但尾部光镜可能会降低肺胸风险.
- 这项研究评估了AP与尾部光学指导对步伐插入的指导.
研究的目的:
- 为了比较AP和尾部光学指导之间的肺胸部发病率,用于通过静脉插入的.
- 在两个指导小组中评估对比静脉图的使用情况.
主要方法:
- 对3252名接受CIED插入 (2011-2023) 的患者进行了回顾性队列研究.
- 程序包括新的植入物和替代/升级.
- 从手术,放射学和出院报告中分析数据;所有患者都接受了手术后的胸部放射.
主要成果:
- 尾部指导 (78.0%) 被使用的频率高于AP指导 (22.0%).
- 肺胸病例发生在尾部病例的0.2%与AP病例的0.7%之间 (p=0.03).
- 在尾部组,对比静脉检查的频率较低 (26.2%对42.7%,p<0.01).
结论:
- 尾部光镜用于关/关下部接入与较低的肺胸率有关.
- 与AP指南相比,这种技术还减少了对比静脉图的需要.
更多相关视频
10:46Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
13.3K
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
10.5K
相关概念视频
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
01:24Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
01:26Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...