在CIED相关的传染性内分心炎中,以光镜辅助的ICE引导的三膜植被去除 CIED相关的感染性内分心炎
Musa'ab Moh'd Alhmouz1, Batool Jamal Abuhalimeh1, Mo'ath Bani Ali1
1Cleveland Clinic, Abu Dhabi, United Arab Emirates.
JACC. Case reports
|October 24, 2025
概括
与心脏植入式电子设备相关的传染性内心炎 (CIED-IE) 带来了挑战. 像光镜辅助植被吸收等先进技术可以降低高风险患者的风险并改善结果.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械技术 医疗器械技术
背景情况:
- 与心脏植入式电子设备相关的传染性内心炎 (CIED-IE) 提出了诊断和治疗方面的挑战.
- 可变的临床表现和成像限制使CIED-IE管理复杂化.
- 大型植被管理中的指导方针差异需要个性化决策.
研究的目的:
- 在CIED-IE.中展示一个成功管理大型植被的案例.
- 突出高级内血管技术在高风险患者中的实用性.
- 讨论光镜辅助的作用,心内心声谱导向的植被吸收.
主要方法:
- 一名69岁的患者曾经接受过心脏再同步治疗,并植入了除器,出现了发烧,候选血症和大三形植被.
- 多学科评估导致了光镜辅助,心内心声导向的愿望,以消除植被.
- 成功的装置和提取是在吸入后进行的.
主要成果:
- 描述的内血管方法成功地解开了4厘米长的植被.
- 患者经历了成功的设备和提取.
- 该案例展示了先进技术在管理复杂的CIED-IE.的潜力.
结论:
- 多模式成像对于准确的CIED-IE诊断至关重要.
- 光镜辅助,心内心声谱导向的植被吸收显示在提高程序精度和安全方面具有前途.
- 这种辅助技术可能会降低栓塞风险,并改善CIED-IE高风险患者的治疗结果,因此需要进一步调查.
相关概念视频
Endocarditis III: Medical Management
210
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
210
Endocarditis I: Introduction
382
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
382
Venous Thrombosis III: Interprofessional Care
278
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
278
Endocarditis IV: Nursing Management
317
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
317
Mitral Stenosis III: Medical Management
245
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
245
Cardiac Catheterization I: Pre-Procedure Overview
1.1K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.1K


