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相关概念视频

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

248
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...
248
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
220
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
351
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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相关实验视频

Updated: Jan 17, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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通过上肢访问进行非冠状动脉干预.

Sasko Kedev1, Ivan Vasilev2, Tak Kwan3

  • 1Department of Interventional Cardiology, University Clinic of Cardiology; Medical Faculty, Ss Cyril and Methodius, University in Skopje, Macedonia.

Interventional cardiology clinics
|September 17, 2025
PubMed
概括

跨射线动脉接入为内血管手术提供了不那么侵入性的替代方案,减少了并发症. 然而,设备尺寸的限制可能会影响其在某些复杂的外围干预中使用.

关键词:
远距离的辐射接入周围血管干预措施 周围血管干预通过TransPedal获得访问权限跨射线接入 跨射线接入跨辐射性阴道动脉支架.跨射线阴动脉支架 支架跨辐射关节下动脉支架.跨ulnar 接入 跨ulnar 接入

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科学领域:

  • 血管外科 血管外科
  • 干预心脏病学 干预心脏病学
  • 血管内干预 血管内干预

背景情况:

  • 超射线动脉接入是一种用于内血管程序的微创技术.
  • 它比输接入提供了优势,包括减少出血和接入部位并发症.
  • 在大多数外周血管干预的患者中,全腕通道 (辐射,远端辐射,) 是可行的.

研究的目的:

  • 为了评估目前的景观和跨射线动脉接入在内血管干预的局限性.
  • 识别与使用大孔设备和专用长,低度设备用于远程干预相关的挑战.

主要方法:

  • 对当前文学和临床实践的审查,涉及到跨射线和转骨动脉接入.
  • 对各种内血管手术的设备兼容性和可用性的分析.
  • 评估影响入口地点选择的患者特定因素.

主要成果:

  • 超辐射接入对于广泛的外周血管干预通常是安全和有效的.
  • 一个主要的限制是某些复杂的程序所需的大孔装置的不兼容性.
  • 由于专用的,低调的,长长的护套的有限可用性,阻碍了通过辐射接入进行远距离的股骨和骨干预.

结论:

  • 超辐射接入是一种有价值的技术,但它的应用需要仔细考虑设备的局限性.
  • 个性化患者评估和量身定制的访问策略对于优化风险效益平衡至关重要.
  • 需要进一步开发专用设备,以扩大复杂远程干预的跨辐射接入的实用性.