Clinical feasibility and safety of a novel miniature mobile cardiac catheterization laboratory in diagnosis and treatment for coronary heart disease
查看参考文献15篇
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文摘
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Background The lack of medical facilities causes delayed diagnosis and treatment of coronary heart disease in remote mountainous area and/or at disaster site. The miniature mobile cardiac catheterization laboratory was developed to be an intervention platform for coronary heart disease diagnosis and treatment by our team. Pre-clinical research indicated that the miniature mobile cardiac catheterization laboratory performed well in the rescue of critical cardiovascular diseases, even ST-segment elevation myocardial infarction. The present study aimed to evaluate the clinical safety and timeliness of the miniature mobile cardiac catheterization laboratory for emergent coronary interventional diagnosis and treatment. Methods X-ray radiation safety and disinfection efficacy in the miniature mobile cardiac catheterization laboratory were tested during working status. Coronary angiography and/or percutaneous coronary intervention were performed in remote mountainous areas on patients who were first diagnosed as having coronary heart disease by senior interventional cardiologists. The percutaneous coronary intervention procedures and results from patients in the miniature mobile cardiac catheterization laboratory were compared with patients who were treated in the hospital catheter lab. Results The X-ray radiation dosages in the miniature mobile cardiac catheterization laboratory were 39.55 μGy/s, 247.4 μGy/h, 90.3 μGy/h and 39.4 μGy/h which were corresponded to 0 m, 1 m, 2 m and 3 m away from the tube central of the medium C-arm. And the radiation dosages used in the miniature mobile cardiac catheterization laboratory were less than the corresponding positions in the hospital catheter lab. The numbers of bacteria colonies in the miniature mobile cardiac catheterization laboratory in different environments range from (60±8) cfu/m~3 to (120±10) cfu/m~3 and met the demands of percutaneous coronary intervention. A total of 17 patients who received angiography in the miniature mobile cardiac catheterization laboratory, eight received percutaneous coronary intervention. The operations were all successfully accomplished without intraoperative and postoperative complications. The average angiography and percutaneous coronary intervention times were 35±9 minutes and 55±11 minutes, respectively. There was no significant difference in immediate percutaneous coronary intervention results between the miniature mobile cardiac catheterization laboratory and the catheter lab. Conclusions It is safe and feasible to carry out clinical interventional diagnosis and treatment in the miniature mobile cardiac catheterization laboratory as determined by this research. The miniature mobile cardiac catheterization laboratory may be considered a newly developed diagnosis and treatment platform for rescuing coronary heart disease patients in remote mountainous areas and/or at disaster sites. |
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来源
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Chinese Medical Journal
,2014,127(6):1052-1056 【核心库】
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DOI
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10.3760/cma.j.issn.0366-6999.20133143
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关键词
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coronary heart disease
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diagnosis
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treatment
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percutaneous coronary intervention
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mobile
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catheter lab
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地址
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1.
Department of Cardiology, Second Affiliated Hospital of Dalian Medical University, Liaoning, Dalian, 116027
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Department of Cardiology, Northern Hospital, Liaoning, Shenyang, 110016
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语种
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英文 |
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文献类型
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研究性论文 |
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ISSN
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0366-6999 |
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学科
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内科学;药学 |
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基金
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supported by grants from the Special Project of "the Eleventh Five-Year Plan" for Medical Science and Technology Research of People's Liberation Army
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the Key Project of "the Twelfth Five-Year Plan" for Medical Science and Technology Research of People's Liberation Army
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文献收藏号
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CSCD:5080343
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参考文献 共
15
共1页
|
|
1.
Kario K. Increased coronary heart disease mortality after the Hanshin-Awaji earthquake among the older community on Awaji Island. Tsuna Medical Association.
J Am Geriatr Soc,1997,45:610-613
|
CSCD被引
2
次
|
|
|
|
|
2.
Ogawa K. Increased acute myocardial infarction mortality following the 1995 Great Hanshin-Awaji earthquake in Japan.
Int J Epidemiol,2000,29:449-455
|
CSCD被引
3
次
|
|
|
|
|
3.
Akbulut G. Afyon sultandagi earthquake.
Ulus Travma Acil Cerrahi Derg,2003,9:189-193
|
CSCD被引
2
次
|
|
|
|
|
4.
Tsai C H. The 1999 Ji-Ji (Taiwan) earthquake as a trigger for acute myocardial infarction.
Psychosomatics,2004,45:477-482
|
CSCD被引
3
次
|
|
|
|
|
5.
Gautam S. Effect of Hurricane Katrina on the incidence of acute coronary syndrome at a primary angioplasty center in New Orleans.
Disaster Med Public Health Prep,2009,3:144-150
|
CSCD被引
4
次
|
|
|
|
|
6.
Han Y L. Novel miniature mobile cardiac catheterization laboratory for critical cardiovascular disease following natural disasters: a feasibility study.
Chin Med J,2012,125:995-999
|
CSCD被引
1
次
|
|
|
|
|
7.
Zhong Y. Application and comparation study of natural precipitation method and impacting method for measurement of bacterial count of air.
J Environment and Health,2004,3:149-152
|
CSCD被引
1
次
|
|
|
|
|
8.
Derek J H. Myocardial ischemia-reperfusion injury: a neglected therapeutic target.
J Clin Invest,2013,123:92-100
|
CSCD被引
126
次
|
|
|
|
|
9.
Nallamothu B K. Percutaneous coronary intervention versus fibrinolytic therapy in acute myocardial infarction: is timing (almost) everything?.
Am J Cardiol,2003,92:824-826
|
CSCD被引
5
次
|
|
|
|
|
10.
Shen W F. Evolution of interventional cardiology in China.
Chin Med J,2009,122:2209-2219
|
CSCD被引
13
次
|
|
|
|
|
11.
Levine G N. 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart.
J Am Coll Cardiol,2011,24:e44-e122
|
CSCD被引
95
次
|
|
|
|
|
12.
Kurita A. Disaster and cardiac disease.
Anadolu Kardiyol Derg,2001,1:101-106
|
CSCD被引
2
次
|
|
|
|
|
13.
Shao H Y. Comparison of image quality and radiation dose during intervention therapy between field shelter and catheterization room (in Chinese).
Mil Med J S China,2012,26:481-483
|
CSCD被引
1
次
|
|
|
|
|
14.
Hendee W R. History, current status, and trends of radiation protection standards.
Med Phys,1993,20:1303-1314
|
CSCD被引
2
次
|
|
|
|
|
15.
Yoshikawa S. Left-sided adult Bochdalek hernia with right lung cancer; report of a case.
Kyobu geka,2005,58:329-332
|
CSCD被引
1
次
|
|
|
|
|
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