放射性动脉 - 血管图形形态,危险因素和管理
Jan Roczniak1, Andrzej Tarnawski2, Artur Dziewierz1,3
1Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
概括
放射性动脉是冠状动脉干预期间常见的,影响24.3%的患者. 女性,穿孔失败和非水友的皮膜增加了的风险,而水友的皮膜可以预防.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 在冠状动脉手术中,最好使用射线动脉接入.
- 放射性动脉可以使程序复杂化,导致疼痛和延长持续时间.
研究的目的:
- 在冠状动脉干预期间识别导致症状辐射动脉的因素.
主要方法:
- 通过放射性动脉接入进行冠状动脉干预的103名患者的前性研究.
- 放射性动脉的血管造影在70名患者中进行.
- 评估辐射动脉的潜在危险因素.
主要成果:
- 整体辐射动脉的发病率为24.3%.
- 风险因素包括女性性别 (OR=2.94),第一次刺穿失败 (OR=3.12),以及非水友性护套的使用 (OR=9.56).
- 水友的没有显示;尖的缩小预测了症状.
结论:
- 女性性别和多次刺穿尝试是放射性动脉的危险因素.
- 水友性围涂层有效地防止了放射性动脉.
- 血管学的症状很常见,但并不总是有症状的;尖的缩小表明有症状的.
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