常规的手术前超声波在触摸与超声波导向的辐射接入心脏导管治疗
Bryan Rene F Toledano1, Kristy B Garganera1, Jose Paolo A Prado1
1Cardiac Catheterization Department, Cardiovascular Institute, The Medical City Hospital, Pasig City, Philippines.
概括
超声波 (US) 指导显著提高了放射性动脉接入成功率,并减少了心脏导管术的手术时间,而不是触摸. 这种方法对患有化动脉的患者尤其有益.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 由于患者的好处,放射性动脉方法是心脏导管治疗的首选方法.
- 诸如小,深,化或移动动脉等挑战可能会阻碍辐射通道的通道.
- 超声波 (美国) 可以提高成功率,但它的使用受到争议.
研究的目的:
- 评估程序前超声波 (US) 的常规使用,以评估放射性动脉.
- 为了比较心脏导管期间的US导向与触摸导向放射性接入的疗效.
主要方法:
- 一项前性研究比较了182名接受选择性辐射心脏导管治疗的患者.
- 患者被分为触摸引导和US引导的组.
- 程序前手持美国评估的辐射动脉特征;实时的美国指导访问在一个组.
主要成果:
- 美国指导访问显示,第一次通过成功率显着更高 (76.92%对49.45%).
- 较少的尝试 (1.46对1.99) 和较短的程序时间 (93.62对120.44分钟) 被观察到与美国指导.
- 触摸组有较高的动脉发病率 (15.38%对比3.3%).
- 美国的指导表明了持续的好处,特别是对于化动脉.
结论:
- 实时手术超声波可以提高操作人员的效率和患者在放射性动脉导管治疗期间的舒适度.
- 美国的指导特别有利,当基线手术前超声波显示动脉化时.
更多相关视频
相关概念视频
01:11Assessment of radial pulse
824
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
824
01:25Assessment of apical radial pulse
742
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
742
01:19Assessing Blood pressure using a doppler ultrasound
1.3K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.3K
01:20Imaging Studies for Cardiovascular System III: X-Ray
188
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
188
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
563
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
563
01:17Assessment of apical pulse
935
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
935