接受冠状动脉手术的患者的性别特异性,并经历过射线对照方法失败的患者
Carmine Musto1, Luca Paolucci2, Giulia Nardi3
1Cardiology Unit, Ospedale S. Giovanni Evangelista, Tivoli, Italy;
The Journal of invasive cardiology
|February 26, 2026
概括
与男性相比,经历过失败的跨辐射接入 (TRA) 交叉的女性患者没有显示出明显更高的血管并发症或出血率. 这项研究比较了在TRA失败后的男性和女性患者的访问交叉后的结果.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 在穿皮冠状动脉手术中,失败的透射方法 (TRA) 会增加血管并发症的风险.
- 女性与更高的TRA失败率有关,但失败后的交叉结果尚不清楚.
研究的目的:
- 为了比较血脉并发症和出血风险在男性与女性在访问交叉后失败后TRA.
- 为了调查TRA失败后不良事件的基于性别的差异.
主要方法:
- 涉及TRA失败患者的REPEAT研究的次分析.
- 倾向性得分匹配以创建可比的男性和女性群体.
- 主要结局:血管并发症和显著出血的组合.
主要成果:
- 在462名TRA衰竭患者中,217人是女性. 女性的股骨交叉率更高.
- 在匹配 (123对) 后,主要结局发生率是可比的 (男性:8.1%与女性:12.2%;P = .294).
- 对大腿骨交叉的敏感性分析也显示了可比的结果 (男性:14.5%对女性:13.0%;P = .805).
结论:
- 在失败的TRA交叉后,两性之间血管并发症或出血没有统计显著的差异.
- 性别似乎不是TRA接入交叉后不良事件的独立预测因素.
相关概念视频
01:21Cardiac Catheterization II: Right Heart Catheterization
1.3K
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
1.3K
01:28Cardiac Catheterization I: Pre-Procedure Overview
1.8K
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...
1.8K
01:24Cardiac Catheterization III: Left Heart Catheterization
877
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
877
01:30Acute Coronary Syndrome III: Diagnostic Studies
334
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
334
01:11Assessment of radial pulse
1.6K
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:
1.6K