在缺少含的对比剂时进行穿皮冠状动脉干预
Zachary Gertz1, Brian K Mitchell1, Michael C Kontos1
1Division of Cardiology, Department of Medicine, Virginia Commonwealth University, Richmond, Virginia.
The Journal of invasive cardiology
|January 2, 2025
概括
缺少的对比剂减少了穿皮冠状动脉干预 (PCI) 中对比剂的使用,但没有影响急性损伤 (AKI) 等患者结局. 这项研究强调了在供应链中断期间的成功适应.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 卫生经济学 卫生经济学
背景情况:
- 由于冠状病毒相关的工厂关闭,全球出现了离子对比介质的短缺.
- 这种短缺需要对其对关键医疗程序的影响进行评估.
研究的目的:
- 评估的对比缺乏对皮肤穿冠状动脉干预 (PCI) 的影响.
- 为了比较对比体积利用和患者的结果,特别是急性损伤 (AKI),在短缺之前和期间.
主要方法:
- 分析了包括来自19家医院的CathPCI注册数据在内的全州数据库.
- 两段时间进行了比较:短缺前 (2021年5月至2022年4月) 和短缺期间 (2022年5月至10月).
- 我们比较了手术体积,患者/手术特征,PCI对比体积和AKI发病率.
主要成果:
- 在短缺期间 (从149.9毫升到137.5毫升) 观察到PCI对比体积的显著下降.
- 尽管对比度使用减少,但患者短期结局没有显著差异,包括急性损伤 (7.9%与7.4%).
- 多变量分析证实了基线AKI风险是AKI的主要预测因素,独立于短缺期.
结论:
- 由于缺乏的对比度,PCI期间对比度利用率显著降低.
- 在短缺期间,没有检测到对患者结局的不良影响,包括AKI.
- 医疗保健系统有效地适应了对比媒体供应链中断,而不会损害患者的安全.
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