感染性心内膜炎的全身栓塞治疗

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2023-11-06 DOI:10.1007/s12055-023-01616-2

Henrik Agerup Kildahl, Evelyn Lauvstad Brenne, Håvard Dalen, Alexander Wahba

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引用次数: 0

摘要

栓塞是感染性心内膜炎的常见并发症，可导致严重的并发症，如脑卒中、肠缺血、外周栓塞等。我们进行了全面的文献检索，并对我们中心的登记处进行了调查，其中包括2010年至2020年间诊断的390例感染性心内膜炎。大型登记显示，20-40%的感染性心内膜炎(IE)患者受到栓塞的影响。在许多情况下，栓塞在诊断时已经存在。在我们的数据中，住院期间的栓塞率为11%。然而，只有2%的患者在手术期间或手术后出现临床栓塞。根据最近的指南，既往栓塞和植物的存在;10mm有手术治疗的指征。常规影像学显示8.5%的手术患者无症状性脑栓塞。然而，发现无症状栓塞并连续手术治疗是否能改善感染性心内膜炎的预后尚不清楚。

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Systemic embolization in infective endocarditis

Abstract Embolism is a common complication in infective endocarditis which may lead to serious complications, such as stroke, intestinal ischemia, and peripheral embolization. A comprehensive literature search was performed and the registry at our centre, including 390 cases of infective endocarditis, diagnosed between 2010 and 2020, was investigated. Large registries show that 20–40% of patients with infective endocarditis (IE) are affected by embolism. In many instances, embolism is present already at the time of diagnosis. The rate of embolism during the hospital stay in our data was 11%. However, only 2% developed clinical embolism during or following surgery. According to recent guidelines, previous embolism, and the presence of vegetations > 10 mm present an indication for surgical treatment. Routine imaging revealed non-symptomatic cerebral embolism in 8.5% of surgical patients. However, it is not clear whether detection of non-symptomatic embolism and consecutive surgical treatment improves the prognosis of infective endocarditis.

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.