在年轻成年人中对密码性中风进行皮肤穿PFO关闭:单个中心的经验
Inês Macedo Conde1, Rodrigo Silva1, Carlos Resende Galvão2
1Cardiology Department, Hospital de Braga, Braga, Portugal.
概括
通过皮肤关闭 patent foramen ovale (PFO) 是安全有效的预防密码性中风复发在精心挑选的患者. 这项单一中心研究实现了100%的程序成功率和结案率.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 干预心脏病学 干预心脏病学
背景情况:
- 专利卵孔 (PFO) 关闭得到了密码性中风预防RCT的支持.
- 患有高风险PFO或悖论性栓塞因子的年轻患者受益最多.
- 单一中心的经验为PFO关闭程序提供了实用的见解.
研究的目的:
- 描述中心在密码性中风患者中进行皮肤间PFO关闭的经验.
- 评估PFO关闭的短期临床结果.
- 评估患者选择,技术方面以及结果监测.
主要方法:
- 观察性,回顾性研究.
- 包括62名患有密码性中风的患者,评估PFO关闭 (2021年2月至2024年2月).
- 32名患者使用特定的封闭装置进行皮肤穿PFO关闭.
主要成果:
- 51.6%的评估患者被选中用于PFO关闭.
- 100%的急性手术成功率,没有重大并发症.
- 在程序后6个月和12个月观察到100%的关闭率.
结论:
- 仔细的患者选择和多学科管理对于最佳的PFO关闭结果至关重要.
- 穿皮式PFO关闭是对精选的密码性中风患者的安全和有效干预.
- 需要进一步的研究来完善选择标准,并探索长期效益.
相关概念视频
PPE Use in Healthcare Settings I: Donning
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
PPE Use in Healthcare Settings II: Doffing
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...


