Wickline S A, Fischer K C
Barnes-Jewish Hospital, Washington University Medical Center, St. Louis, Missouri 63110, USA.
ASAIO J. 2000 Nov-Dec;46(6):S80-1. doi: 10.1097/00002480-200011000-00042.
Approximately 30,000 to 60,000 patients per year in the United States are candidates for heart transplants, mechanical assist devices, or both. These procedures, devices, and the associated short- and long-term care required are expensive and command significant utilization of health care resources. Because device related infection and thrombosis are potentially devastating complications of implanted device utilization, early diagnosis of infection, thrombosis, or both, would be helpful for initiation of early therapy to prevent untoward clinical events. Therefore, the development of a robust imaging technology for identification of infection could be cost effective if early assessment, diagnosis, and therapy of infected devices led to improvements in morbidity and mortality.
在美国,每年约有3万至6万名患者适合进行心脏移植、使用机械辅助装置或两者皆用。这些手术、装置以及所需的相关短期和长期护理费用高昂,且占用大量医疗保健资源。由于与装置相关的感染和血栓形成是植入装置使用过程中潜在的毁灭性并发症,早期诊断感染、血栓形成或两者同时存在,将有助于启动早期治疗以预防不良临床事件。因此,如果对受感染装置的早期评估、诊断和治疗能够改善发病率和死亡率,那么开发一种强大的用于识别感染的成像技术可能具有成本效益。