皮肤冠状动脉干预中右与左辐射接入的比较分析:对静音脑缺血的影响
Abdulkadir Kara1, Korhan Soylu2, Ufuk Yildirim2
1Department of Cardiology, Elbistan State Hospital, 46300 Kahramanmaraş, Turkey.
Medicina (Kaunas, Lithuania)
|August 29, 2024
概括
穿皮冠状动脉干预 (PCI) 期间的右侧透射通道与左侧透射通道相比,增加了静音脑缺血 (SCI) 的风险. 吸烟和较低的射出分数也是导致SCI的重要因素.
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:
- 沉默性脑缺血症 (SCI) 是一种可以通过生化标志物或成像检测到的亚临床疾病.
- 了解皮肤冠状动脉干预 (PCI) 期间SCI的风险因素对于患者的治疗结果至关重要.
研究的目的:
- 为了比较PCI的右和左跨辐射接入之间的SCI发病率.
- 确定影响PCI后SCI发展的因素.
主要方法:
- 一项前性研究,对197名通过跨辐射接入接受PCI的患者进行了研究.
- 患者按右侧或左侧辐射动脉的通道分组.
- 在手术前和后测量了神经特异性酶 (NSE) 水平;SCI定义为NSE>20 ng/dL.
主要成果:
- 在197名患者中,SCI发生在60名患者中 (30.5%).
- 在右半径组 (37.4%) 与左半径组 (23.5%) (p=0.032) 中,SCI的发生率更高.
- SCI的独立预测因素包括右半径接触,吸烟和较低的射出分数.
结论:
- 与左侧透射接入相比,右侧透射接入与PCI后SCI风险明显更高.
- 吸烟,关节下动脉扭曲,HbA1c升高和射出分数减少等因素与SCI风险增加有关.
- 程序访问地点和患者特异性因素影响PCI后静音脑缺血的发生.
相关概念视频
01:21Cardiac Catheterization II: Right Heart Catheterization
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...
01:24Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...