在儿科患者的冠状静脉鼻腔内进行切除的安全性
Shankar Baskar1, Martin J LaPage2, Nicholas J Ollberding3
1The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Journal of cardiovascular electrophysiology
|February 14, 2025
概括
冠状动脉鼻的导管切除对于儿科患者来说是安全的,冠状动脉损伤很罕见. 操作人员应在切除过程中监测过渡性心脏阻塞.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 电力生理学 电力生理学
- 干预心脏病学 干预心脏病学
背景情况:
- 冠状动脉鼻 (CS) 中的导管切除带有无意中冠状动脉 (CA) 损伤的风险.
- 有限的数据存在于儿童群体中CS剥离的安全性.
研究的目的:
- 评估小儿科患者在CS内以导管为基础的切除术的安全性.
- 描述儿科CS除中除能量源利用模式.
主要方法:
- 多中心,回顾性研究 (1999-2019) 涉及七个中心.
- 包括接受CS切除的儿科患者 (≤21岁).
- 分析了废除技术,能量来源和并发症的数据.
主要成果:
- 包括211名儿科患者;辅助途径是主要目标.
- 使用了冷 (55%),非灌的RF (40%) 和灌的RF (6%).
- 发生了一例短暂的CA和六例短暂的高度AV阻塞;没有永久的并发症.
结论:
- 在切除前的冠状动脉造影是不常见的,但急性CA损伤是罕见的.
- 过渡性心脏阻塞是一种值得注意的并发症,需要对AV结节传导进行警监测.
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