促进超低对比度经皮冠状动脉介入治疗的程序和技术创新。

IF 0.2 0 PHILOSOPHY Interventional Cardiology Review Pub Date : 2023-03-29 eCollection Date: 2023-01-01 DOI:10.15420/icr.2022.32
Breda Hennessey, Asad Shabbir, Alejandro Travieso, Nieves Gonzalo, Javier Escaned
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引用次数: 0

摘要

超低剂量造影剂经皮冠状动脉介入治疗(PCI)对于选定的复杂高风险肾衰竭患者来说是一种很有价值的方法。超低剂量造影剂经皮冠状动脉介入治疗的目的之一是降低术后造影剂诱发肾病(CIN)的发病几率,CIN 主要影响基线肾功能不全的患者。CIN 与不良临床结果和医疗相关费用增加有关。在另外两种临床情况下,减少操作者对造影剂用量的依赖可能有助于提高安全性,这两种情况是复杂、高风险患者的 PCI 和休克患者的 PCI。在这篇综述中,我们将讨论使超低剂量造影剂 PCI 能够在心脏阴道实验室中进行的程序技术和最新技术创新。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Procedural and Technological Innovations Facilitating Ultra-low Contrast Percutaneous Coronary Interventions.

Ultra-low-dose contrast percutaneous coronary intervention (PCI) is a valuable approach in selected complex high-risk patients with renal failure. One of the objectives of ultra-low contrast PCI is to decrease the probability of developing postprocedural contrast-induced nephropathy (CIN), which predominately affects patients with baseline renal dysfunction. CIN is associated with poor clinical outcomes and increased healthcare-related costs. Another two clinical scenarios in which reduced dependence on contrast administration by the operator may contribute to improved safety are PCI in complex, high-risk indicated patients and in shock. In this review, we discuss the procedural techniques and recent technological innovations that enable ultra-low-dose contrast PCI to be performed in the cardiac cath lab.

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来源期刊
Interventional Cardiology Review
Interventional Cardiology Review Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.30
自引率
0.00%
发文量
18
审稿时长
12 weeks
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