放射性动脉用于冠状动脉旁路移植的国际趋势
Arnaldo Dimagli1,2, Kevin R An1,3, Sigrid Sandner1,4
1Department of Cardiothoracic Surgery, Weill Cornell Medicine, 525 E 68th St, New York, NY 10065, USA.
European heart journal open
|July 18, 2025
概括
全球采用放射性动脉用于冠状动脉旁路移植的比例较低,但在不断增加,在几个注册表中,内镜收获技术的显著增加.
科学领域:
- 心血管外科心血管外科
- 手术结果研究研究.
背景情况:
- 放射性动脉 (RA) 越来越多地被认为是冠状动脉旁路移植 (CABG).
- 了解RA采用的国际趋势对于优化外科实践至关重要.
研究的目的:
- 调查放射性动脉 (RA) 在冠状动脉旁路移植 (CABG) 中作为导管的利用的全球趋势.
- 分析不同国家和地区心脏手术注册表的采用率.
主要方法:
- 从四个主要的心脏手术数据库提取数据:英国,安大略省,奥地利和胸腔外科医生协会成人心脏手术数据库 (STS ACSD).
- 分析放射性动脉使用率和趋势,包括收获技术.
主要成果:
- 辐射动脉使用率差异很大:4.3% (英国),23.3% (安大略省),4.8% (奥地利) 和6.4% (STS ACSD).
- 在安大略省,奥地利和STS ACSD (P <0.05) 观察到RA使用的显著上升趋势.
- 在英国 (P = 0.015) 发现RA使用的下降趋势,内镜RA采集的采用越来越多,特别是在安大略省和STS ACSD.
结论:
- 全球采用放射性动脉用于CABG的情况仍然不稳定,一般来说很低.
- 在RA利用的总体上升趋势是显而易见的,同时,内镜采集方法的采用率更高.
相关概念视频
Assessment of radial pulse
1.0K
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
1.0K
Assessment of apical radial pulse
870
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
870
Arteries of the Upper Limbs
1.0K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
1.0K
Peripheral Artery Disease III: Interprofessional Care
30
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
30


