通过导管大动脉植入 (TAVI) 后的手术后发烧. 一个多中心研究
Valentina Scheggi1, Yohann Bohbot2,3, Jasim Hasan2
1Cardiothoracovascular Department, Azienda Ospedaliero-Universitaria Careggi and University of Florence, Florence, Italy.
Le infezioni in medicina
|March 12, 2025
概括
过导管大动脉植入后发烧 (TAVI) 是常见的,通常是自我限制的,通常是良性的. 在TAVI后不复杂发烧的稳定患者中,建议采取警的等待方法.
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 医疗器械
背景情况:
- 过导管大动脉植入后发烧 (TAVI) 带来了诊断挑战,有传染性和非传染性原因.
- 塔维可以增加感染风险,并引发无菌性炎症反应.
- 缺乏对TAVI后发烧的标准化管理策略.
研究的目的:
- 为了调查TAVI后发烧的发病率,特征和结果.
- 评估TAVI后发烧的诊断和管理方法.
- 确定与发烧持续时间和患者结果相关的因素.
主要方法:
- 对1074名连续接受TAVI治疗的患者进行了回顾性分析.
- 数据收集包括人口统计,并发症,程序细节和发烧发生率 (温度>37.5°C).
- 对发烧持续时间,感染标志物,抗生素使用和临床结果的分析.
主要成果:
- 36.4%的患者在TAVI后2天内发烧; 86%的患者发烧持续了一天.
- 25%的发烧患者服用经验性抗生素,只有17%的患者感染.
- 短期发烧 (<1天) 的死亡率与没有发烧的死亡率相似; 长期发烧与不良结果有关.
结论:
- 发烧是TAVI后常见的,通常是良性的并发症.
- 对于具有自我限制的发烧和没有感染迹象的稳定患者来说,警等待策略是适当的.
- 选择的患者可能需要更积极的诊断和管理方法.
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