JTCVS techniques · 2025
Pulmonary artery pressure via endobronchial ultrasound: A feasibility and safety study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Goertzen S Michael, Boster Joshua, Eapen Georgie, Casal Roberto, Grosu Horiana, Sarkiss Mona, Durand Jean-Bernard, Ali Zohra, Celestino May, Rice David, Mehran Reza
Аннотация
OBJECTIVES: Pulmonary hypertension significantly influences perioperative outcomes in thoracic surgery. Right heart catheterization, the standard method to assess pulmonary artery pressure, is invasive and time-consuming. We aimed to assess the feasibility and safety of direct pulmonary artery pressure measurement through endobronchial ultrasound-guided puncture of the right pulmonary artery.
METHODS: Twenty patients underwent ultrasound-guided puncture of the right pulmonary artery using a 22-gauge needle under real-time ultrasound guidance. Systolic, diastolic, and mean pulmonary pressures were recorded via a pressure transducer. Procedural success and complications were assessed.
RESULTS: Pulmonary artery puncture was successfully completed in all 20 patients (100%). Mean systolic pulmonary pressure was 26.5 ± 7.6 mm Hg, mean diastolic pulmonary pressure was 16.4 ± 6.3 mm Hg, and mean pulmonary pressure was 20.7 ± 6.6 mm Hg. No complications, including bleeding, vessel injury, pneumothorax, or infection occurred.
CONCLUSIONS: Endobronchial ultrasound guided puncture of the right pulmonary artery appears to be a safe and effective method for direct pulmonary artery pressure measurement, potentially improving preoperative risk assessment without additional procedural risks.
METHODS: Twenty patients underwent ultrasound-guided puncture of the right pulmonary artery using a 22-gauge needle under real-time ultrasound guidance. Systolic, diastolic, and mean pulmonary pressures were recorded via a pressure transducer. Procedural success and complications were assessed.
RESULTS: Pulmonary artery puncture was successfully completed in all 20 patients (100%). Mean systolic pulmonary pressure was 26.5 ± 7.6 mm Hg, mean diastolic pulmonary pressure was 16.4 ± 6.3 mm Hg, and mean pulmonary pressure was 20.7 ± 6.6 mm Hg. No complications, including bleeding, vessel injury, pneumothorax, or infection occurred.
CONCLUSIONS: Endobronchial ultrasound guided puncture of the right pulmonary artery appears to be a safe and effective method for direct pulmonary artery pressure measurement, potentially improving preoperative risk assessment without additional procedural risks.