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左心室辅助器件接受者的植入前和植入后内镜:一个单一中心体验

Wael T Mohamed¹, Vinay Jahagirdar¹, Fouad Jaber¹

¹Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.

Gastroenterology research

|March 11, 2024

概括

在左心室辅助器件 (LVAD) 患者中,不建议进行胃肠道出血 (GIB) 的常规植入前内镜查. 建议根据患者特定的因素对查采取个性化的方法.

科学领域:

心脏病学心脏病学
胃肠病学胃肠病学
医疗器械医疗器械

背景情况:

胃肠道出血 (GIB) 是左心室辅助器件 (LVAD) 患者的常见并发症.
在LVAD植入前进行内镜查的最佳策略仍未确定.
本研究评估了LVAD植入前后内镜查的产量和安全性.

研究的目的:

评估LVAD植入前内镜查的有效性.
为了确定LVAD植入后一年内GIB的发病率.
为了比较 GIB 患者与没有 LVAD 前内镜评估的患者之间的发病率.

主要方法:

从2010年至2020年对167名LVAD患者的回顾性审查.
在LVAD植入前一个月内进行的内镜手术的分析.
在LVAD植入后一年内评估GIB发病率.

主要成果:

血管扩张显示,LVAD后出血的几率比率 (9.41) 显著更高.
在LVAD前后查组 (32.6%与39.1%) 之间没有观察到GIB发病率的显著差异.
内镜手术的耐受性很好;的血凝固是主要的静血干预措施.

结论:

不建议在LVAD前进行常规内镜查.
建议采用个性化,逐个案例的方法进行LVAD前GIB查.
专注于特定的风险因素可以优化对LVAD患者的查策略.

关键词:

血管张症是什么意思内镜检查是指内镜检查.胃肠道出血胃肠道出血左心室辅助装置的使用

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