导管切除后持续性阴性心房隔膜缺陷的发生率和预测因素
Hiroyuki Kamada1, Yasuhisa Iriki1, Issei Yoshimoto1
1Department of Cardiovascular Medicine and Hypertension, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Journal of cardiology
|June 24, 2024
概括
心房隔膜缺陷 (iASD) 是心房动移除后的常见并发症. 较大的盖子直径和多个盖子增加了iASD的风险,需要仔细考虑程序.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗成像医学成像
背景情况:
- 通过截面穿刺进行心房动 (AF) 切除可以导致阳性心房隔膜缺陷 (iASD).
- 胸外心声学 (TTE) 是评估iASD后移除的有价值的工具.
研究的目的:
- 为了确定AF的导管切除后iASD的发生率和预测因素.
- 评估TTE在诊断iASD中的作用.
主要方法:
- 对接受AF导管切除的639名患者的回顾性分析.
- 术前和术后心声学 (TEE和TTE) 评估iASD.
- 对程序前特征和程序方法的评估.
主要成果:
- 在TTE后59.6%的患者和6个月TTE后4.6%的患者中观察到iASD.
- 更大的外直径和通过单个穿孔使用两个外是iASD的重要风险因素.
- 与射频剥离相比,使用更大的冷热气球剥离显示出更高的iASD发病率.
结论:
- 在AF切除后,iASD是一种常见的并发症.
- 体大小和数量等程序性因素与iASD的发展有关.
更多相关视频
08:00Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter
Published on: June 15, 2015
13.9K
07:41Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
3.7K
相关概念视频
Cardiac Catheterization I: Pre-Procedure Overview
3.4K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
3.4K
Cardiac Catheterization II: Right Heart Catheterization
2.2K
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
2.2K
Cardiomyopathy V: Interprofessional Care
753
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
753
