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程序前计算机断层扫描预测了双向旋转机械横静脉取过程中的程序复杂性和并发症

Federico Migliore¹, Raimondo Pittorru¹, Vincenzo Tarzia¹

¹Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Via N. Giustiniani 2, Padua 35121, Italy.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

|December 5, 2025

概括

术前心脏CT可以准确预测旋转机械透视取 (TLE) 期间的并发症. CT上的纤维化长度是复杂和复杂的TLE程序的关键预测因素,有助于风险分层.

科学领域:

心脏病学心脏病学
医疗成像医学成像
干预程序干预程序

背景情况:

通过静脉取 (TLE) 在技术上具有挑战性.
心脏计算机断层扫描 (CT) 有助于在TLE中进行手术前评估.
对于旋转机械TLE结果的CT的预测作用需要进一步定义.

研究的目的:

为了确定程序前CT是否可以预测旋转机械TLE中的并发症和程序复杂性.
评估CT成像在规划TLE程序中的实用性.
在CT上识别与TLE结果相关的解剖特征.

主要方法:

对115名接受旋转机械TLE的患者进行了回顾性研究.
进行了手术前的对比增强CT,并采用了专门的提取协议.
复杂的 (主要并发症,不完整的去除,使用陷) 和复杂的 (陷或使用) 程序使用后勤回归和ROC分析进行了评估.

主要成果:

复杂的手术 (20.9%) 独立地与CT上最长的纤维化长度相关 (OR 1.1).
纤维化长度>40毫米预测复杂的程序具有很高的准确性 (AUC 0.92).
复杂的手术 (37.4%) 与纤维化长度,结石化,停留时间和心力衰竭有关;纤维化长度>30毫米预测复杂性 (AUC 0.72).

结论:

术前CT可以准确地识别高风险的解剖特征,如纤维化长度和化.
这些CT发现独立地预测复杂和复杂的旋转机械TLE.
将CT成像纳入程序规划可以改善TLE的个性化风险分层.

关键词:

复杂性复杂性复杂性计算机断层扫描 (CT) 是一种计算机断层扫描.风险分层是指风险的分层.旋转式机械罩旋转式机械罩

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