性无心脏起器内心炎通过皮肤真空辅助疏散植被,起器提取和更换来管理
Kelly Q Jia1, Frans J Beerkens1, Chi Zhang1
1Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
JACC. Case reports
|November 1, 2024
概括
无心脏起器 (LCP) 与传统设备相比,具有优势. 本研究详细介绍了基于螺旋体的LCP中的第一个真菌内心炎病例,该病例通过微创手术成功治疗.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械技术 医疗器械技术
背景情况:
- 无心脏起器 (LCP) 降低了与输血导线相关的风险,如骨折和感染.
- 现有两种主要的LCP固定方法:螺旋式和锡式.
- 虽然很少见,但已经报告了LCP感染,主要是用头设备.
研究的目的:
- 报告第一个病理确认的真菌内心炎病例,涉及基于螺旋的LCP.
- 为了描述这种罕见并发症的成功管理.
主要方法:
- 一个病例报告,一个患有真菌内心炎的患者在基于螺旋的LCP.
- 管理涉及以导管为基础的机械真空疏散植被.
- 随后进行了LCP提取和更换.
主要成果:
- 在基于螺旋体的LCP上出现的第一个已记录的真菌内心炎病例.
- 通过机械疏散,提取和更换的组合来实现成功的治疗.
- 证明了这种罕见的LCP并发症的可行治疗策略.
结论:
- 性内心炎可以发生在基于螺旋的LCP中,尽管很少见.
- 最少侵入性,以导管为基础的干预措施可以有效地管理这种并发症.
- 基于螺旋体的LCP可能与锡制设备相比,感染风险较低.
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