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PFO设备的并发症:文献综述和对心声图谱随访的可能影响

Kaitlyn Foreman¹, Elizabeth Lyman¹, Sara Conroy¹

¹Heart Center, Nationwide Children's Hospital, Columbus, Ohio, USA.

Echocardiography (Mount Kisco, N.Y.)

|October 15, 2024

概括

在PFO设备关闭后的并发症在5年以后很少出现. 在PFO设备关闭后,常规的胸前回声图 (TTE) 随访可能不需要长期进行.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
干预心脏病学干预心脏病学

背景情况:

目前关于在专利前卵膜 (PFO) 装置关闭后进行胸前回声图 (TTE) 随访的指导方针缺乏具体性.
了解并发症的时间模式对于优化术后监测至关重要.

研究的目的:

为了描述PFO设备关闭后出现并发症的时间.
评估PFO设备植入后长期常规TTE监测的必要性.

主要方法:

在PubMed (2000-2023) 进行了全面的文献搜索.
包括对接受PFO设备关闭的患者报告的研究,不包括评论和ASD设备关闭研究.
提取并分析了有关并发症发生率和时间的数据.

主要成果:

总共分析了305项研究,涉及48348名患者.
整体并发症率为6.9%,心律失常和残留分流是最常见的.
大多数并发症 (57.8%) 发生在手术后6个月内;只有0.8%在5年后发生并具有症状.

结论:

在PFO设备关闭5年后出现的并发症并不常见.
在PFO设备关闭5年后,TTE的常规使用需要进一步调查和潜在的重新评估.

关键词:

导管注射导管注射导管注射并发症可能导致并发症.超声心电图 (Echocardiography) 是一种心声回声仪.后续行动后续行动专利形圆形孔

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