在心胸外科2023年值得注意的是
Jessica Y Rove1, Michael T Cain1, Jordan R Hoffman1
1Department of Surgery, Division of Cardiothoracic Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Seminars in cardiothoracic and vascular anesthesia
|April 17, 2024
概括
循环死亡 (DCD) 器官移植后的捐赠正在上升. 对体外生命支持 (ECLS) 的关键试验,大动脉手术冷却策略和更新的心房动指南进行了审查,以了解心胸外科手术的进展.
科学领域:
- 心胸外科手术 心胸外科手术
- 移植 移植 移植 移植
- 心血管研究研究心血管研究
背景情况:
- 循环死亡 (DCD) 器官移植后的捐赠正在增加.
- 身体外生命支持 (ECLS) 的使用量有所增长,特别是在COVID-19后.
- 在复杂的大动脉手术中优化认知结果需要更好的冷却和 perfusion 策略的证据.
研究的目的:
- 总结过去一年心胸外科和移植领域的高影响力试验和趋势.
- 审查DCD对心脏和肺移植的影响.
- 讨论与心胸外科手术相关的最新指南更新.
主要方法:
- 对DCD移植结果数据的审查.
- 对心脏性休克患者ECLS-SHOCK试验结果的分析.
- 对GOT ICE试验的审查,评估低温循环停止温度和认知结果.
- 从2023年STS和ACC/AHA/ACCP/HRS心房的指南中进行的手术相关更新的摘要.
主要成果:
- 随着新的最佳实践建议,DCD移植的数量继续上升.
- 在ECLS-SHOCK试验中,ECLS与心脏性休克患者的常规护理进行了比较.
- 在GOT ICE试验中,评估了低温循环停止期间不同冷却温度对认知影响.
- 来自STS和ACC/AHA/ACCP/HRS的更新指南为心房的管理提供了新的建议.
结论:
- 在DCD移植,ECLS和大动脉手术冷却策略方面的重大进展和正在进行的研究正在塑造心胸外科手术.
- 最近的指导方针更新为心胸患者的心房动管理提供了关键信息.
- 审查的研究突出了该领域的进展和未来方向的关键领域.
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