在冠状动脉干预中进行超辐射接入后的辐射动脉封闭
Farooq Ahmad1,2, Ikram Ullah3, Sher W Khan4
1Cardiology, Khyber Medical College/Khyber Teaching Hospital, Peshawar, PAK.
Cureus
|May 13, 2024
概括
用于心脏手术的超辐射接入 (TRA) 具有辐射动脉封闭 (RAO) 的低风险. 然而,60岁以上的患者在TRA后面临着明显更高的RAO风险.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血管接入 血管接入
背景情况:
- 透射接入 (TRA) 越来越多地优先于输血接入 (TFA) 通过皮肤冠状动脉干预 (PCI) 由于较低的出血和死亡率,正如 MATRIX 试验所支持的那样.
- 放射性动脉封闭 (RAO) 是TRA的潜在结构并发症,可能导致疼痛并限制未来的TRA手术.
研究的目的:
- 在接受冠状动脉干预的患者中,调查放射性动脉封闭 (RAO) 后的发病率和确定风险因素.
主要方法:
- 在2021年4月至2023年12月期间,对1527名接受TRA冠状动脉干预的患者进行了观察性研究.
- 收集和分析了患者数据,包括年龄,手术类型 (诊断血管造影或PCI) 和RAO发作.
主要成果:
- RAO的总发病率为5.3% (1,527名患者中有81名).
- 在60岁以上的患者中,RAO的发生率明显高 (7.1%),而在60岁以下的患者中则高 (3.8%;p = 0.003).
结论:
- 放射性动脉封闭 (RAO) 是冠状动脉干预的超辐射接入 (TRA) 后的罕见并发症.
- 高龄 (60岁以上) 被认为是TRA后RAO发展的重要风险因素.
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