穿皮冠状动脉干预期间发生的冠状动脉穿孔与持续高的死亡率和并发症有关
Mohammad Reza Movahed1,2, Nishant Satapathy1, Mehrtash Hashemzadeh1
1From the Department of Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, AZ.
Critical pathways in cardiology
|July 16, 2024
概括
穿皮冠状动脉干预 (PCI) 期间的冠状动脉穿孔导致住院患者的死亡率显著增加 (12.9%),与没有穿孔的患者相比. 这些高死亡率持续存在,表明需要改进PCI穿孔管理.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 患者的治疗结果.
背景情况:
- 冠状动脉穿孔是穿皮冠状动脉干预 (PCI) 的严重并发症.
- 了解与PCI相关的冠状动脉穿孔相关的结果对于患者护理至关重要.
- 这项研究侧重于PCI期间经历冠状动脉穿孔的患者的不良事件和死亡率.
研究的目的:
- 评估30岁及以上在PCI期间经历冠状动脉穿孔的患者的不良结果和死亡率.
- 为了比较PCI期间冠状动脉穿孔和没有冠状动脉穿孔的患者的结果.
主要方法:
- 利用国家住院样本数据库从2016年到2020年.
- 使用国际疾病分类第十次修订 (ICD-10) 代码来识别患者.
- 在PCI期间进行冠状动脉穿孔和没有冠状动脉穿孔的患者之间的结果比较.
主要成果:
- 在10,059,269个PCI手术中,11,725个 (0.12%) 导致冠状动脉穿孔.
- 穿孔患者的死亡率为12.9%,而没有穿孔患者的死亡率为2.5% (OR 5.6).
- 穿孔的患者经历了更高的紧急冠状动脉旁路手术,心脏坦波纳,心脏骤停和主要心血管不良事件的比率.
结论:
- 在PCI期间冠状动脉穿孔的全因住院患者死亡率仍然很高,超过10%.
- 在为期5年的研究期间,死亡率一直保持在高水平.
- 目前PCI相关冠状动脉穿孔的治疗方法需要显著改进,以减少不良后果.
相关概念视频
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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01:22Esophageal Perforation-I: Introduction
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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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