经过导管结构心脏手术后的紧急心脏手术:叙述审查
Miriam Compagnone1, Gianni Dall'Ara1,2, Simone Grotti1
1Interventional and Structural Cardiovascular Unit, Forlì-Cesena, AUSL Romagna, Italy.
概括
经过透气管结构心脏手术后的突发心脏手术 (ECS) 是罕见的 (<0.5%) 由于改进的技术和专业知识. 然而,对于需要ECS的患者来说,结果仍然很差,这凸显了需要仔细规划和合作的需要.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 手术创新 在外科创新.
背景情况:
- 过导管结构心脏手术是高风险老年患者的标准.
- 这些手术在全球范围内有所增加,主要并发症较少.
- 由于进步,紧急心脏手术 (ECS) 的发生率有所下降.
研究的目的:
- 为了提供一个全面的分析,经过主要的皮肤结构程序后,ECS.
- 解决关于ECS发病率和管理的碎片化数据.
- 为提供一个最新的概述救助手术的程序性并发症.
主要方法:
- 分析经过透气管大动脉置换,中心修复/置换和左心房尾闭塞后出现的心脏手术 (ECS) 率.
- 综述多中心研究和关于程序并发症管理的文献.
- 专注于按照这些具体程序对ECS进行首次全面分析.
主要成果:
- 经过过导管结构干预后的突发心脏手术 (ECS) 现在非常罕见 (<0.5%).
- 大多数主要并发症都能通过皮肤治疗,减少了对ECS的需要.
- 对于需要ECS的患者来说,尽管设置最佳,但结果仍然不利.
结论:
- 一个协作的心脏团队方法和先进的成像对于最小化不良事件至关重要.
- 尽管发病率低,但了解ECS对于患者安全至关重要.
- 技术进步和专业知识已经大大降低了ECS利率.
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