对于心脏电子设备植入的零至最小光学:系统性审查和元分析
Kevin Luke1, Clonia Milla1, Joshua Kurnia Tandi2
1Faculty of Medicine Universitas Airlangga Surabaya Indonesia.
Journal of arrhythmia
|February 9, 2024
概括
对心脏植入式电子设备 (CIED) 植入的零至最小光学 (ZMF) 方法与传统光学一样有效和安全. 在CIED手术过程中,ZMF显著降低了患者和医务人员的辐射暴露.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 辐射安全 辐射安全
背景情况:
- 用于心脏植入式电子设备 (CIED) 治疗的传统光学对患者和医疗保健专业人员构成辐射风险.
- 零至最小光学 (ZMF) 方法已成为减轻这些辐射相关缺点的策略.
研究的目的:
- 为了比较ZMF方法的可行性和安全性与CIED治疗成人的传统光学.
- 评估关键的程序结果,包括成功率,时间,辐射剂量和并发症.
主要方法:
- 在2023年3月,在PubMed,ScienceDirect和Web of Science进行了系统的文献搜索.
- 包括观察性或实验性研究,将ZMF与成人CIED的光学进行比较;不包括评论,病例报告,动物研究和非英语文章.
- 分析的关键指标包括成功率,手术时间,光镜时间,辐射剂量和并发症率.
主要成果:
- 对于永久性CIED,ZMF与光镜相比显示出相似的成功率 (OR:0.77) 和手术时间 (SMD:0.10).
- 对于永久性CIED,ZMF显著减少了光学时间 (SMD: -1.80) 和辐射暴露 (SMD: -1.26) .
- 永久性CIEDs (OR: 1.08) 的并发症率相似,但ZMF的临时CIEDs (OR: 0.34) 的并发症率较低.
结论:
- 对于永久CIED植入而言,ZMF方法的成功率,手术时间和整体并发症率与传统光镜相比相当.
- ZMF显著减少了光学时间和辐射暴露,提高了患者和医疗人员的安全性.
- 采用ZMF方法为CIED程序提供了一个可行的替代方案,特别是关于辐射减少的方法.
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