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在初级心脏植入式电子设备植入后,与临床相关的心周溢出相关的风险因素
Yangzhi Zhou1, Saranda Haxha1,2, Andrim Halili1,2
1Department of Cardiology, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Journal of cardiovascular electrophysiology
|October 1, 2024
概括
心脏植入式电子设备 (CIED) 植入后临床相关的心周输液很少见,但与特定的患者和程序因素相关. 识别这些风险可以提高CIED程序期间的患者安全.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 临床研究 临床研究
背景情况:
- 心周溢血是心脏植入式电子设备 (CIED) 植入的已知并发症,可能导致心脏吸管.
- 在CIED程序后临床相关的手术性心周溢出风险因素的数据有限.
研究的目的:
- 为了确定与CIED植入后临床相关的手术心周输液相关的患者和手术相关的风险因素.
主要方法:
- 全国范围的观察性队列研究,使用来自丹麦心脏起器注册表 (2000-2018) 的数据,对55121名患者进行了研究.
- 临床相关的手术性心脏外流被定义为发生在CIED初级手术90天内.
- 用多变量逻辑回归分析来评估风险因素.
主要成果:
- 诊断出115名患者 (0.21%) 患有临床相关的手术性心周溢血,需要80.9%的心周切除术.
- 风险因素包括女性性别,心力衰竭,先前的心脏手术,CRT装置植入,三级保健中心,高手术量,心房阻塞指示和植入线数.
- 女性性别 (1.49),心力衰竭 (1.54),先前的心脏手术 (1.63),CRT设备 (2.05),三级中心 (1.8),高手术量 (1.85),AV阻断 (2.37),两次导入 (2.39),和三次导入 (4.77) 的几率比率增加.
结论:
- 在丹麦,临床上相关的手术性心周输液是CIED植入后的罕见并发症.
- 这项研究确定了重要的患者和程序风险因素,有助于风险分层和预防策略.
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