对于右侧传染性内心炎的最小侵入性手术:针对性的文献综述
Weijia Wang1, Shinobu Itagaki2, Natalia Egorova1
1Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
概括
微创手术通过切除植被来治疗右侧传染性内心炎 (RSIE) 的成功率很高. 然而,结果各不相同,需要对RSIE患者的疗效和安全进行进一步的研究.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械 医疗器械
背景情况:
- 右侧传染性内心炎 (RSIE) 具有重大风险,包括心内和心外并发症,导致高死亡率.
- 传统的治疗方法,如抗生素和手术,可能不适合所有患者,特别是那些患有严重疾病,如心力衰竭或败血性休克的患者.
研究的目的:
- 审查现有的关于右侧传染性内心炎中除植被的微创手术的观察性研究.
- 评估这些干预措施对心脏门和植入式电子设备的有效性和有效性.
主要方法:
- 使用PubMed/MEDLINE,EMBASE和Cochrane中央数据库进行了有针对性的文献审查.
- 包括2015年1月1日至2023年6月5日期间发表的研究,遵守PRISMA指南.
主要成果:
- 分析了11项涉及208名RSIE患者的研究.
- 在9项研究中评估了AngioVac系统,在2项研究中评估了Penumbra系统.
- 报告的整体程序成功率为87.9%,与指数住院期间死亡率的混合结果.
结论:
- 最少侵入性系统在RSIE植被除方面取得了很高的程序性成功.
- 对并发症和死亡率的多样化结果凸显了进一步调查的必要性.
- 需要进行大型队列研究或随机临床试验,以最终评估这些微创方法的疗效和安全性.
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