应急部门成像利用过导管后的大动脉置换:单一机构7年经验
Eva Chau1, Andy Mew2, Kaustav Bera3
1University of Pittsburgh School of Medicine, Pittsburgh, OH, USA.
Emergency radiology
|April 22, 2024
概括
超导管大动脉置换 (TAVR) 后30天内访问急诊室是常见的,成像显示近三分之一的患者有急性发现. 通过成像进行早期诊断对于有效的TAVR患者护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 通过导管的大动脉置换 (TAVR) 越来越常见.
- 接受TAVR治疗的患者可以在手术后30天内到急诊室 (ED).
- 了解这些演示和成像发现对于及时管理至关重要.
研究的目的:
- 描述患者在TAVR后30天内向ED提交的情况.
- 在这个患者队列中识别成像中的急性发现.
- 突出紧急放射科医生在TAVR后护理中的作用.
主要方法:
- 在TAVR后30天内提交给ED的146名患者的回顾性审查.
- 分析患者数据,包括ED投诉和成像结果.
- 在ED访问期间进行的250项成像研究 (CT,超声波,心声波) 的综述.
主要成果:
- 在TAVR后30天内发生了168次ED访问,中位数为呈现12天.
- 最常见的症状是呼吸系统 (27%),神经系统 (23%) 和心血管系统 (18%).
- 30.1%的患者在成像上有急性发现,包括心力衰竭,接入部位并发症,肺炎和内病理. 心声图和CTA胸部最多与重大发现有关.
结论:
- 早期和准确的成像对于诊断TAVR后患者的急性疾病至关重要.
- 紧急放射科医生在管理常见的术后表现方面发挥着关键作用.
- 进一步研究后释放策略可以降低再接收和成本.
关键词:
复杂性 复杂性 复杂性计算机断层扫描 (CT) 是一种计算机断层扫描.紧急情况部门 重新接收 重新接收磁共振成像技术 磁共振成像技术核成像技术 核成像技术通过导管更换大动脉门.超声波超声波是指超声波的使用.更多相关视频
09:32Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
Published on: December 9, 2021
3.0K
09:57Four-Dimensional Computed Tomography-Guided Valve Sizing for Transcatheter Pulmonary Valve Replacement
Published on: January 20, 2022
2.6K
相关概念视频
01:28Imaging Studies for Cardiovascular System V: CT
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
01:19Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...