在同一天内重复紧急心脏手术的原因
Sukhdeep Bhogal1, Mohil Garg2, Namratha S Meda2
1Section of Interventional Cardiology, Sovah Health, Martinsville, Virginia, USA.
概括
很少有患者需要在同一天重复心脏导管程序. 血管并发症和重复的穿皮冠状动脉干预 (PCI) 是主要原因,强调需要仔细管理血管接入和术后胸痛评估.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 患者安全 患者安全
背景情况:
- 技术进步的目的是尽量减少心脏导管实验室的同一天重复程序.
- 了解重复手术的原因对于改善患者治疗结果至关重要.
研究的目的:
- 识别和分析患者在同一天返回心脏导管实验室紧急重复手术的原因.
- 为减少同一天重复心脏手术的策略提供信息.
主要方法:
- 在2013年11月至2022年1月期间接受心脏导管手术的患者的回顾性评估.
- 排除从外部中心转移的患者.
- 确定初始和重复程序的指示.
主要成果:
- 在55942个手术中,有140个需要在同一天重复干预.
- 血管并发症 (24.2%) 和重复穿皮冠状动脉干预 (PCI) (20.7%) 是重复手术的最常见原因.
- 急性四肢缺血和伪动脉瘤是常见的血管并发症.
结论:
- 同一天重复的心脏导管程序是罕见的.
- 血管接入管理和术后胸痛评估是需要注意的关键领域,以防止同一天重复手术.
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