...
首页> 外文期刊>Therapeutic advances in cardiovascular disease. >Computed tomography-guided pericardiocentesis: a systematic review concerning contemporary evidence and future perspectives
【24h】

Computed tomography-guided pericardiocentesis: a systematic review concerning contemporary evidence and future perspectives

机译:计算机体层摄影术指导的心包穿刺术:关于当代证据和未来观点的系统评价

获取原文
   

获取外文期刊封面封底 >>

       

摘要

Pericardial effusion (PE) can develop in several pathological scenarios, and is often initially evaluated by means of echocardiography. Computed tomography (CT) has been used as an aid in the management of patients presenting with PE, in selected cases. The role of CT-guided pericardiocentesis in contemporary practice, however, remains not fully ascertained. We aimed at presenting a systematic review concerning the state-of-the-art of this technique. A systematic review of published data on the use of CT for guiding pericardiocentesis was carried out (search performed on PubMed, ISI Web of Knowledge and Scopus databases). From title and abstract analysis, 14 articles were included that met the prespecified criteria. After full-text analysis, six articles were excluded. The eight articles under analysis included a total of 635 procedures performed in 571 patients. CT guidance was mostly used in a postoperative setting (364 procedures). Most procedures were done mainly for therapeutic purposes (528 procedures). Success rates ranged from 94% to 100%. Complications ranged from 0% to 7.8%. CT-guided pericardiocentesis is a useful technique in the approach to PE, in several clinical scenarios. Its use can be especially relevant in the postoperative period, as well as in individuals with suboptimal image quality (as assessed by echocardiography, for the moment the first choice in the approach to most cases of PE).
机译:心包积液(PE)可以在几种病理情况下发展,并且通常最初通过超声心动图进行评估。在某些情况下,计算机断层扫描(CT)已被用作辅助治疗PE的患者。然而,CT引导的心包穿刺术在当代实践中的作用仍未完全确定。我们旨在提供有关此技术的最新技术的系统评价。对使用CT指导心包穿刺的已发表数据进行了系统的综述(在PubMed,ISI Web of Knowledge和Scopus数据库上进行了搜索)。通过标题和摘要分析,包括14篇符合预定标准的文章。经过全文分析,排除了六篇文章。分析的八篇文章共对571例患者进行了635例手术。 CT引导主要用于术后设置(364程序)。大多数程序主要用于治疗目的(528程序)。成功率从94%到100%不等。并发症的范围从0%到7.8%。 CT引导的心包穿刺术是在几种临床情况下进行PE的有用技术。它的使用在术后期以及图像质量欠佳的患者中尤其重要(通过超声心动图评估,目前是大多数PE病例的首选治疗方法)。

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号