内心肺静脉绑定,以防止在左上垂体切除过程中发生血栓
Shunta Ishihara1, Masanori Shimomura1, Hiroaki Tsunezuka2
1Division of Thoracic Surgery, Department of Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Annals of thoracic surgery short reports
|January 10, 2025
概括
在左上叶切除术 (LUL) 期间,上肺静脉 (SPV) 的心内结可以安全地预防肺静脉血栓 (PVST) 和随后的脑梗塞. 这种技术为减少严重的术后并发症提供了一个有希望的解决方案.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 神经外科 神经外科
背景情况:
- 手术后脑梗塞是手术后的一种严重并发症.
- 肺静脉茎血栓 (PVST) 经常在左上叶切除术 (LUL) 后观察到.
研究的目的:
- 为了研究上肺静脉 (SPV) 的腹膜内结合在LUL后预防PVST的安全性和有效性.
主要方法:
- 这是一项前性研究,涉及21名患者,他们接受了LUL和心内SPV绑定.
- 测量了SPV茎长度;通过CT扫描评估了PVST.
- 与76个历史对照组相比,安全性和并发症.
主要成果:
- 中位数SPV茎长度为5.0毫米;中位数手术时间为8.8分钟.
- 在30天和90天的死亡率为零.
- 在SPV绑定组中没有观察到PVST或脑血管事件;与对照组相比,并发症没有显著差异.
结论:
- 腹腔内心SPV绑定是一种安全的手术.
- 这种技术显示出在LUL后预防脑梗塞的潜力.
更多相关视频
09:31Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
Published on: February 14, 2022
2.1K
05:31Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
2.8K
相关概念视频
01:21Cardiac Catheterization II: Right Heart Catheterization
2.2K
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...
2.2K
01:24Cardiac Catheterization III: Left Heart Catheterization
1.3K
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...
1.3K