在跨动脉重血管化过程中逆流的内效应
Busra Tok Cekmecelioglu1,2,3, Peter Legeza1,4, Pooja Tekula1
1Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas, USA.
Turk gogus kalp damar cerrahisi dergisi
|June 27, 2024
概括
使用跨皮多普勒,近红外光谱和双光谱指数的多式监测有效地跟踪脑血液动力学和血管栓塞事件在跨动脉再血管化过程中,增强患者的安全.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 医疗监测 医疗监测
背景情况:
- 穿动脉复血管化 (TCAR) 是一种恢复心脏动脉血液流动的程序.
- 在TCAR期间监测大脑血液动力学和栓塞事件对于患者的安全至关重要.
研究的目的:
- 在TCAR期间评估手术内大脑血液动力学反应.
- 用多式联络监测评估TCAR期间的栓塞事件.
主要方法:
- 追溯分析12名接受TCAR的患者,同时进行跨皮多普勒 (TCD),近红外光谱 (NIRS) 和双光谱指数 (BIS) 监测.
- 在TCAR的不同阶段,研究了中脑动脉流速,NIRS和BIS值.
- 记录高强度的短暂信号 (HITS) 来评估栓塞事件.
主要成果:
- 在流量逆转期间,中脑动脉平均流速显著减少,在手术后恢复.
- 在流量逆转期间,NIRS和BIS值下降,表明血液动力学变化.
- 在支架部署期间发生了HITS的最高发病率,这突出显示这是一个关键的栓塞阶段.
- 没有观察到外科手术期间的神经并发症.
结论:
- 在TCAR期间,TCD,NIRS和BIS提供了有效的实时监测大脑血液动力学和栓塞潜力.
- 多模式监测对于优化外科手术期间的管理和改善TCAR程序中的患者结果是有价值的.
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