Angiography ea pelo e nepahetseng

Angiography ea pelo e nepahetseng ke thuto e bonts'ang likamore tse nepahetseng (atrium le ventricle) tsa pelo.

U tla phomola butle metsotso e 30 pele ho ts'ebetso. Ngaka ea lefu la pelo e tla hloekisa sebaka seo 'me e felise sebaka seo ka moriana o thethefatsang kutlo. Ebe catheter e tla kenngoa ka mothapong o molaleng oa hao, letsohong, kapa boteng.

Catheter e tla fetisetsoa lehlakoreng le letona la pelo. Ha catheter e ntse e tsoela pele, ngaka e ka rekota likhatello ho tsoa atrium e nepahetseng le ventricle e nepahetseng.

Lintho tse fapaneng ("dae") li entsoe ka lehlakoreng le letona la pelo. E thusa setsebi sa lefu la pelo ho tseba boholo le sebōpeho sa likamore tsa pelo le ho lekola ts'ebetso ea tsona hammoho le ts'ebetso ea li-valve tsa tricuspid le pulmonary.

Tsamaiso e tla nka lihora tse 1 ho isa ho tse 'maloa.

U ke ke ua lumelloa ho ja kapa ho noa lihora tse 6 ho isa ho tse 8 pele ho tlhahlobo. Tsamaiso e etsahala sepetlele. Ka kakaretso, o tla amoheloa hoseng ha ts'ebetso. Leha ho le joalo, o kanna oa hloka ho amoheloa bosiung bo fetileng.

Mofani oa tlhokomelo ea bophelo o tla hlalosa tšebetso le likotsi tsa eona. O tlameha ho saena foromo ea tumello.

U tla fuoa anesthesia ea lehae moo catheter e kenngoang teng. Kamora moo, ntho feela eo u lokelang ho ikutloa ka eona ke khatello ea sebaka sa marang-rang. U ke ke ua utloa catheter ha e ntse e sisinyeha methapong ea hau ho ea lehlakoreng le letona la pelo. U kanna ua utloa ho foka kapa maikutlo a hore u hloka ho ntša metsi ha dae e entoa.

Angiography ea pelo e nepahetseng e etsoa ho lekola phallo ea mali ka lehlakoreng le letona la pelo.

Liphetho tse tloaelehileng li kenyelletsa:

• Index ea pelo ke lilithara tsa 2.8 ho isa ho 4.2 ka motsotso ka mitara e meng (ea bokaholimo ba 'mele)
• Khatello ea methapo ea methapo ea methapo ke limilimithara tse 17 ho isa ho tse 32 tsa mercury (mm Hg)
• Mothapo oa pulmonary o bolela khatello ke 9 ho isa ho 19 mm Hg
• Khatello ea diastolic ea pulmonary ke 4 ho isa ho 13 mm Hg
• Khatello ea methapo ea methapo ea methapo ke 4 ho isa ho 12 mm Hg
• Khatello ea mali e nepahetseng ke 0 ho isa ho 7 mm Hg

Liphetho tse sa tloaelehang li ka bakoa ke:

• Likhokahano tse sa tloaelehang lipakeng tsa lehlakore le letona le le letšehali la pelo
• Ho se tloaelehe ha atrium e nepahetseng, joalo ka atrial myxoma (ka seoelo)
• Ho se tloaelehe ha li-valve ka lehlakoreng le letona la pelo
• Likhatello tse sa tloaelehang kapa meqolo, haholoholo mathata a matšoafo
• Mosebetsi o fokolang oa pompo ea ventricle e nepahetseng (sena se ka bakoa ke lisosa tse ngata)

Likotsi tsa ts'ebetso ena li kenyelletsa:

• Li-arrhythmias tsa pelo
• Tamponade ea pelo
• Embolism e tsoang ho liphahlo tsa mali ntlheng ea catheter
• Lefu la pelo
• Ho tsoa mali
• Tšoaetso
• Tšenyo ea liphio
• Khatello ea mali e tlase
• Bohato ba ho bapisa dae kapa meriana e lutsisang
• Leqeba
• Ho sithabela maikutlo kapa mothapo

Teko ena e kanna ea kopanngoa le coronary angiography le catheterization ea pelo e letšehali.

Angiography - pelo e nepahetseng; Ventriculography ea pelo e nepahetseng

• Pelo - karolo ho ea bohareng
• Pelo - pono e ka pele

Arshi A, Sanchez C, Yakubov S.Valvular lefu la pelo. Ka: Kellerman RD, Rakel DP, eds. Phekolo ea Hajoale ea Conn ea 2019. Philadelphia, PA: Elsevier; 2019: 156-161.

Catheterization ea Herrmann J. Cardiac. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 19.

Patel MR, Bailey SR, Bonow RO, le al. ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 mekhoa e nepahetseng ea ts'ebeliso ea catheterization ea ts'oaetso: tlaleho ea American College of Cardiology Foundation Sesebelisoa se Sebetsang sa Criteria Task, Mokhatlo oa Angiography ea Pelo le Mehato, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Mokhatlo oa Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, le Mokhatlo oa Lingaka tsa Ngaka tsa Thoracic. J Ke Coll Cardiol. 2012; 59 (22): 1995-2027. PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.

Udelson JE, Dilsizian V, Bonow RO. Lefu la pelo ea nyutlelie. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 16.