Cardiac imaging procedures and the COVID-19 pandemic: recommendations of the European Society of Cardiovascular Radiology (ESCR).
心脏成像程序和新型冠状病毒肺炎大流行: 欧洲心血管放射学会 (ESCR) 的建议。
- 作者列表："Beitzke D","Salgado R","Francone M","Kreitner KF","Natale L","Bremerich J","Gutberlet M","Mousseaux E","Nikolaou K","Peebles C","Velthuis B","Vliegenthart R","Loewe C","Emrich T","Executive Committee of the European Society of Cardiovascular Radiology (ESCR):.","Luigi N","Matthias G","Rozemarijn V","Konstantin N","Marco F","Christian L","Brigitta V","Rodrigo S","Charles P","Ellie M
:The severe acute respiratory syndrome coronavirus 2019 (SARS-CoV-2) pandemic currently constitutes a significant burden on worldwide health care systems, with important implications on many levels, including radiology departments. Given the established fundamental role of cardiovascular imaging in modern healthcare, and the specific value of cardiopulmonary radiology in COVID-19 patients, departmental organisation and imaging programs need to be restructured during the pandemic in order to provide access to modern cardiovascular services to both infected and non-infected patients while ensuring safety for healthcare professionals. The uninterrupted availability of cardiovascular radiology services remains, particularly during the current pandemic outbreak, crucial for the initial evaluation and further follow-up of patients with suspected or known cardiovascular diseases in order to avoid unnecessary complications. Suspected or established COVID-19 patients may also have concomitant cardiovascular symptoms and require further imaging investigations. This statement by the European Society of Cardiovascular Radiology (ESCR) provides information on measures for safety of healthcare professionals and recommendations for cardiovascular imaging during the pandemic in both non-infected and COVID-19 patients.
: 2019 (严重急性呼吸综合征冠状病毒) SARS-CoV-2大流行目前对全球卫生保健系统构成重大负担，对包括放射科在内的许多层面都有重要影响。鉴于心血管成像在现代医疗保健中的既定基础作用，以及心肺放射学在新型冠状病毒肺炎名患者中的特定价值，在大流行期间需要重组部门组织和成像计划，以便为感染和非感染患者提供现代心血管服务，同时确保医疗保健专业人员的安全。心血管放射服务的不间断提供，特别是在当前大流行期间，对于疑似或已知心血管疾病患者的初步评估和进一步随访至关重要，以避免不必要的并发症。怀疑或确定的新型冠状病毒肺炎患者也可能伴有心血管症状，需要进一步的影像学检查。欧洲心血管放射学会 (ESCR) 的这份声明提供了关于医疗保健专业人员安全措施的信息，以及在未感染和新型冠状病毒肺炎患者的大流行期间心血管成像的建议。
METHODS::We present the case of a 61-year-old woman with a large tumoral infiltration extending from the pelvis throughout the inferior vena cava inferior to the right atrium, protruding into the right ventricle and right ventricular outflow tract. She had been treated 10 years before for low-grade endometrial stromal sarcoma by hysterectomy and adnexectomy followed by hormone- and radio-therapy. Due to cancer recurrence, she underwent peritonectomy, appendectomy, and resection of terminal ileum.
METHODS:AIMS:Significant platelet activation after long stented coronary segments has been associated with periprocedural microvascular impairment and myonecrosis. In long lesions treated either with an everolimus-eluting bioresorbable vascular scaffold (BVS) or an everolimus-eluting stent (EES), we aimed to investigate (a) procedure-related microvascular impairment, and (b) the relationship of platelet activation with microvascular function and related myonecrosis. METHODS AND RESULTS:Patients (n=66) undergoing elective percutaneous coronary intervention (PCI) in long lesions were randomised 1:1 to either BVS or EES. The primary endpoint was the difference between groups in changes of pressure-derived corrected index of microvascular resistance (cIMR) after PCI. Periprocedural myonecrosis was assessed by high-sensitivity cardiac troponin T (hs-cTnT), platelet reactivity by high-sensitivity adenosine diphosphate (hs-ADP)-induced platelet reactivity with the Multiplate Analyzer. Post-dilatation was more frequent in the BVS group, with consequent longer procedure time. A significant difference was observed between the two groups in the primary endpoint of ΔcIMR (p=0.04). hs-ADP was not different between the groups at different time points. hs-cTnT significantly increased after PCI, without difference between the groups. CONCLUSIONS:In long lesions, BVS implantation is associated with significant acute reduction in IMR as compared with EES, with no significant interaction with platelet reactivity or periprocedural myonecrosis.
METHODS:BACKGROUND:Aortopulmonary window is an uncommon congenital heart disease, with untreated cases not surviving beyond childhood. However, very rarely it can present in adult patients with features of pulmonary hypertension. Clinically these patients cannot be differentiated from other more common conditions with left to right shunt. Transthoracic echocardiography if performed meticulously, can depict the defect in aortopulmonary septum. RESULTS:We report a case of large unrepaired aortopulmonary window in a 23 years old patient, diagnosed on transthoracic echocardiography.