在慢性全闭性皮肤冠状动脉干预期间,设备被困/损失
Michaella Alexandrou1, Athanasios Rempakos1, Deniz Mutlu1
1Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA.
The Journal of invasive cardiology
|February 27, 2024
概括
在慢性全封闭皮肤冠状动脉干预 (CTO PCI) 期间设备丢失或被困是罕见但严重的. 这种并发症在0.4%的病例中出现,与复杂的病变和较差的结果有关.
科学领域:
- 干预心脏病学 干预心脏病学
- 心血管研究研究心血管研究
- 医疗器械技术 医疗器械技术
背景情况:
- 有限的数据存在于设备损失或困在慢性完全闭塞 (CTO) 穿皮冠状动脉干预 (PCI) 期间.
- 了解这些罕见但重要的并发症对于改善复杂PCI病例的患者安全和程序成功率至关重要.
研究的目的:
- 调查CTO PCI期间设备丢失或被困的发生率,特征和结果.
- 确定与设备丢失/陷入困境相关的因素及其对程序成功和患者安全的影响.
主要方法:
- 在2017年至2023年期间,对10719个CTO PCI案件进行了多中心分析.
- 详细审查临床,血管学数据和手术并发症,重点关注设备丢失/陷入事件.
- 与没有设备丢失/陷入困境的情况之间的结果比较.
主要成果:
- 设备丢失/陷入困境发生在0.4%的病例中,涉及导线,微导管,支架和气球.
- 这些事件在复杂的CTO (中度至严重的化,较长的病变,更高的并发症得分) 和逆向方法中更频繁.
- 设备损失/陷的程序显示技术成功率较低,主要心脏不良事件 (MACE),急性心肌梗塞,紧急CABG,穿孔和死亡率显着较高.
结论:
- 设备丢失/陷入困境是CTO PCI中罕见但严重的并发症.
- 中枢神经组织病变的复杂性和特定的程序方法与风险增加有关.
- 这些事件对手术成功产生负面影响,并与患者的治疗结果明显恶化有关,包括增加MACE和死亡率.
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