在儿科先天性心脏病患者的假体肺感染性内心炎
Michael J Lewis1,2, Torsten Malm1,3,2, Anna Hallbergson4
1Pediatric Heart Center, Divisions of Pediatric Cardiac Surgery, University Hospital, Lund, Sweden.
概括
假体肺感染在牛 jugular 静脉比同体移植更常见,无论手术或皮肤肺植入. 牛 jugular 静脉,包括 Melody ,显示出更高的假体肺感染性内心炎的风险.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 肺植入 (PVI) 是患有先天性心脏病的儿童常见的手术.
- 手术PVI (SPVI) 从历史上来看是主要的方法,但穿皮PVI (PPVI) 越来越多地被使用.
研究的目的:
- 为了比较SPVI和PPVI之间假体肺感染性内心炎 (PPVIE) 的发生率.
- 根据使用的肺假肢类型来评估PPVIE的风险.
主要方法:
- 在1993年至2022年期间接受PVI的儿科患者的回顾性审查.
- 基于干预方法 (SPVI与PPVI) 和假肢类型 (同种移植与牛静脉) 的PPVIE率的比较.
主要成果:
- 牛 jugular 静脉 (BJV) 门 (Contegra 和 Melody) 显示,与同种植门相比,PPVIE 的风险更高.
- 所有PVI的PPVIE发病率为5.1%,Contegra (1.05%) 和Melody (2.93%) 门的发病率更高.
- 假肢的材料 (BJV与同种植) 是PPVIE风险的一个更重要的因素,而不是植入的方法 (SPVI与PPVI).
结论:
- 牛关静脉肺假体比同种移植更容易感染,无论植入的技术如何.
- 旋律,尽管程序较少,显示了趋势,朝着更高的PPVIE率.
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