New York, NY (November 04, 2021) Tšebeliso ea mokhoa o mocha o bitsoang quantitative flow ratio (QFR) ho tseba hantle le ho lekanya ho teba ha methapo ea methapo e ka lebisa ho liphetho tse ntlafetseng haholo kamora ho kenella ha percutaneous coronary intervention (PCI), ho latela a boithuto bo bocha bo entsoeng ka tšebelisano le lefapha la Mount Sinai.
Phuputso ena, e leng eona ea pele ea ho hlahloba QFR le liphello tsa eona tsa kliniki tse amanang le eona, li ka lebisa ho amoheleheng ho pharaletseng ha QFR e le mokhoa o mong oa angiography kapa lithapo tsa khatello ho lekanya ho teba ha li-blockages, kapa liso, ho bakuli ba nang le lefu la methapo ea pelo.Liphetho tsa thuto li phatlalalitsoe ka Labone, la 4 Pulungoana, e le teko ea kliniki ea morao-rao Sebokeng sa Transcatheter Cardiovascular Therapeutics (TCT 2021), mme ka nako e le 'ngoe e phatlalalitsoe ho The Lancet.
"Ka lekhetlo la pele re na le bopaki ba kliniki hore khetho ea lesion ka mokhoa ona e ntlafatsa liphello ho bakuli ba nang le lefu la methapo ea pelo ba ntseng ba phekoloa ka stent," ho bolela sengoli se phahameng Gregg W. Stone, MD, Mookameli oa Litaba tsa Thuto ea Mount Sinai Health System le Moprofesa oa Meriana (Cardiology), le Population Health and Policy, Sekolong sa Bongaka sa Icahn Thabeng ea Sinai."Ka ho qoba nako, mathata le lisebelisoa tse eketsehileng tse hlokahalang ho lekanya ho teba ha leqeba ho sebelisa terata ea khatello, mokhoa ona o bonolo o lokela ho thusa ho atolosa haholo tšebeliso ea physiology ho bakuli ba nang le mekhoa ea ho fokotsa pelo ea pelo."
Bakuli ba nang le lefu la methapo ea methapo ea methapo ea methapo ea methapo ea methapo ea methapo ea methapo e lebisang bohlokong ba sefuba, phefumoloho e khutšoanyane, le lefu la pelo-hangata ba kena PCI, mokhoa o sa buuoeng oo lingaka tsa pelo tse kenang lipakeng li sebelisang catheter ho kenya li-stents ka har'a pelo e koetsoeng. methapo ea mali ho khutlisetsa phallo ea mali.
Lingaka tse ngata li itšetlehile ka angiography (X-rays ea methapo ea pelo) ho fumana hore na ke methapo efe e nang le tšitiso e matla ka ho fetisisa, 'me e sebelise tlhahlobo eo ea pono ho etsa qeto ea hore na ke methapo efe e lokelang ho phekoloa.Mokhoa ona ha oa phethahala: litšitiso tse ling li ka shebahala li le matla ho feta kamoo li hlileng li leng ka teng, 'me lingaka ha li khone ho tseba hantle ho tsoa ho angiogram feela hore na ke litšitiso life tse amang phallo ea mali haholo.Liphello li ka ntlafatsoa haeba ho khethoa liso ho stent ho sebelisoa mohala oa khatello ho tseba hore na ke life tse sitisang phallo ea mali.Empa mokhoa ona oa ho lekanya o nka nako, o ka baka mathata, 'me o kenyelletsa litšenyehelo tse eketsehileng.
Theknoloji ea QFR e sebelisa ho tsosolosoa ha methapo ea 3D le ho lekanya lebelo la phallo ea mali e fanang ka litekanyo tse nepahetseng tsa khatello ea khatello ho pholletsa le thibelo, e leng se lumellang lingaka ho etsa liqeto tse molemo mabapi le hore na ke methapo efe ea ho stent nakong ea PCI.
E le ho ithuta hore na QFR e ama liphello tsa mokuli joang, bafuputsi ba ile ba etsa teko ea batho ba 3,825 Chaena ba neng ba e-na le PCI pakeng tsa 25 December 2018 le January 19, 2020. bonyane e ne e e-na le mothapo o le mong oa methapo ea pelo e nang le thipa e le ’ngoe kapa ho feta moo angiogram e neng e lekanya e le pakeng tsa karolo ea 50 le 90 lekholong e ileng ea fokotseha.Halofo ea bakuli e ile ea e-ba le mokhoa o tloaelehileng oa tataiso ea angiography ho latela tlhahlobo ea pono, ha halofo e 'ngoe e ne e e-na le leano le tataisoang ke QFR.
Sehlopheng se tataisoang ke QFR, lingaka li ile tsa khetha ho se phekole likepe tsa 375 tseo qalong li neng li reretsoe PCI, ha li bapisoa le 100 sehlopheng sa angiography-guided.Theknoloji ka hona e thusitse ho felisa palo e kholo ea li-stents tse sa hlokahaleng.Sehlopheng sa QFR, lingaka li ile tsa boela tsa tšoara likepe tsa 85 tse neng li sa rereloa PCI qalong ha li bapisoa le 28 sehlopheng sa angiography-guided.Ka hona, theknoloji e ile ea supa liso tse ling tse ka beng li sa ka tsa phekoloa.
Ka lebaka leo, bakuli ba sehlopha sa QFR ba ne ba e-na le litekanyetso tse tlaase tsa selemo sa lefu la pelo ha li bapisoa le sehlopha sa angiography feela (bakuli ba 65 vs. 109 bakuli) le monyetla o monyenyane oa ho hloka PCI e eketsehileng (bakuli ba 38 vs. ho phela ho tshwanang.Selemong se le seng, karolo ea 5.8 ea bakuli ba tšoaroang ka mokhoa oa PCI e tataisoang ke QFR ba ne ba shoele, ba e-na le lefu la pelo, kapa ba hloka ho pheta-pheta revascularization (stenting), ha ba bapisoa le karolo ea 8.8 ea bakuli ba neng ba ntse ba e-na le mokhoa o tloaelehileng oa PCI oa angiography. , phokotso ea karolo ea 35 lekholong.Bafuputsi ba re lintlafatso tsena tsa bohlokoa liphethong tsa QFR li lumella lingaka ho khetha likepe tse nepahetseng bakeng sa PCI le ho qoba mekhoa e sa hlokahaleng.
"Liphetho tsa teko ena e kholo e foufalitsoeng e na le moelelo oa bongaka, 'me li tšoana le se neng se ka lebelloa ka tataiso ea PCI e thehiloeng ho terata.Ho itšetlehile ka liphuputso tsena, ka mor'a tumello ea molao ke ne ke tla lebella hore QFR e amoheloe ka ho pharaletseng ke lingaka tsa pelo tse kenang lipakeng ho ntlafatsa liphello tsa bakuli ba bona. "Ho boletse Ngaka Lejoe.
Tags: Mafu a Aortic le Opereishene, Pelo - Cardiology & Cardiovascular Surgery, Icahn School of Medicine Thabeng ea Sinai, Mount Sinai Health System, Tlhokomelo ea Mokuli, Gregg Stone, MD,FACC, FSCAI, LipatlisisoMabapi le Mount Sinai Health System
Mount Sinai Health System ke e 'ngoe ea litsi tsa bongaka tse kholo ka ho fetisisa tikolohong ea metro ea New York, e nang le basebetsi ba fetang 43,000 ba sebetsang lipetleleng tse robeli, lits'ebetso tse fetang 400 tsa bakuli, li-laboratory tse ka bang 300, sekolo sa booki, le sekolo se etelletseng pele sa bongaka. thuto ea mangolo.Thaba ea Sinai e ntšetsa pele bophelo bo botle bakeng sa batho bohle, hohle, ka ho nka liphephetso tse rarahaneng ka ho fetisisa tsa tlhokomelo ea bophelo mehleng ea rōna - ho sibolla le ho sebelisa thuto le tsebo e ncha ea saense;ho etsa liphekolo tse sireletsehileng, tse sebetsang haholoanyane;ho ruta moloko o latelang oa baetapele ba bongaka le baqapi;le ho tšehetsa sechaba sa lehae ka ho fana ka tlhokomelo ea boleng bo holimo ho bohle ba e hlokang.
Ka ho kopanngoa ha lipetlele, li-lab le likolo, Mount Sinai e fana ka tharollo e felletseng ea tlhokomelo ea bophelo ho tloha tsoalong ka li-geriatrics, ho sebelisa mekhoa e mecha e kang bohlale ba maiketsetso le li-informatics ha e ntse e boloka litlhoko tsa bakuli tsa bongaka le tsa maikutlo bohareng ba kalafo eohle.Tsamaiso ea Bophelo bo Botle e kenyelletsa lingaka tse ka bang 7,300 tsa tlhokomelo ea mantlha le tse khethehileng;Litsi tse 13 tsa ho buoa bakuli ba kantle ho naha ho pholletsa le literopo tse hlano tsa New York City, Westchester, Long Island, le Florida;le litsi tse fetang 30 tse amanang le bophelo bo botle ba sechaba.Re behiloe ka mokhoa o tsitsitseng ke US News & World Report's Lipetlele tse Molemo ka ho Fetisisa, re fumana boemo bo phahameng ba "Honor Roll", 'me re boemong bo phahameng: No. 1 ho Geriatrics le top 20 ho Cardiology / Heart Surgery, Diabetes / Endocrinology, Gastroenterology / GI Surgery, Neurology. /Neurosurgery, Orthopedics, Pulmonology/Ho Buoa Matšoafo, Ho Tsosolosa, le Urology.New York Eye and Ear Infirmary ea Mount Sinai e boemong ba No. 12 ho Ophthalmology.US News & World Report ea "Lipetlele tse Molemohali tsa Bana" li maemong a Sepetlele sa Bana sa Mount Sinai Kravis har'a tse ntle ka ho fetisisa naheng ka litsebo tse 'maloa tsa bana.
Nako ea poso: Nov-10-2023