冲击波静脉内溶解促进了透静脉提取
Christopher A Latanich1, John A Anderson1
1Heart and Vascular Institute, Department of Medicine, Essentia Health, Duluth, Minnesota, USA.
JACC. Clinical electrophysiology
|June 6, 2023
概括
冲击波静脉内 (IVL) 预处理显著减少了复杂的透静脉取 (TLE) 程序的提取时间. 这种创新方法通过破碎心脏起器和除器线周围的密集化来最大限度地降低程序风险.
科学领域:
- 心血管干预 心血管干预
- 医疗器械技术 医疗器械技术
- 电力生理学 电力生理学
背景情况:
- 长期存在的跨静脉周围的密集化使提取程序复杂化.
- 冲击波静脉静脉透术 (IVL) 使用声波来破坏导管附近的化组织.
研究的目的:
- 评估冲击波IVL作为通过静脉取 (TLE) 的预治疗方法在患有长期停留心脏起器和除器导致的患者中的有效性.
- 评估IVL对TLE过程中的程序时间和复杂性的影响.
主要方法:
- 追溯分析2019年10月至2023年4月期间执行的TLE程序.
- IVL预处理涉及使用7和8毫米气球,最大300个脉冲递归到骨折结.
- 在接受IVL预治疗的患者和没有接受IVL预治疗的患者之间比较程序时间.
主要成果:
- 在65名符合条件的患者中,有14人接受了IVL预治疗;停留时间平均为10.7年.
- 在IVL和传统组之间,患者人口统计或类型没有显著差异.
- IVL预处理导致活提取时间显著减少25分钟 (P=0.007).
结论:
- 冲击波IVL作为一种新的辅助疗法,用于提取高风险,复杂的透静导体.
- 这种预处理方法显著减少了提取程序中风险最高阶段的持续时间.
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