专利孔圆形关闭非中风指示的关闭
Akilesh P Honasoge1, Hussam S Suradi1, Jonathan M Tobis2
1Division of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, Illinois.
概括
专利卵孔 (PFO) 关闭有效地减少了精选患者的复发性中风. 虽然PFO关闭越来越多地用于密码性中风,但其在其他条件中的有效性需要进一步研究.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 干预心脏病学 干预心脏病学
背景情况:
- 卵孔 (PFO) 是一种心房隔膜缺陷,在20-34%的成年人中存在.
- 虽然PFO通常是良性的,但可以激发矛盾的栓塞,将其与密码性中风,偏头痛和减压疾病联系起来.
研究的目的:
- 审查目前的数据和PFO关闭的管理策略,以超出密码性中风的条件.
- 在各种临床场景中探索PFO关闭的潜在迹象.
主要方法:
- 对PFO关闭现有临床数据和随机对照试验的审查.
- 对PFO关闭程序的程序成功率和并发症率的分析.
主要成果:
- 与密码性中风患者的医学治疗相比,PFO关闭显著降低了复发性中风的发生率.
- 全球PFO关闭程序增加了,主要是用于密码性中风,成功率高,并发症率低.
结论:
- 透皮PFO关闭是精心挑选的密码性中风患者的经过验证的治疗方法.
- 目前缺乏支持PFO关闭其他条件的证据,需要进一步研究.
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