下静脉卡瓦过器和并发症:系统性审查
Joe Bajda1, Ann N Park2, Aishwarya Raj3
1Anatomical Sciences, St. George's University School of Medicine, True Blue, GRD.
Cureus
|June 8, 2023
概括
下腔静脉 (IVC) 过器通过捕获血块来帮助预防肺栓塞 (PE). 当适当使用时,这些过器提供了显著的PE保护,并没有太多的并发症,尽管仍然需要明确的使用指南.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心脏病学 心脏病学
背景情况:
- 下腔静脉 (IVC) 过器是用来通过捕获血栓来预防肺栓塞 (PE) 的设备.
- 从历史上看,IVC过器主要适用于抗凝治疗禁忌的患者,这些患者面临着显著的死亡风险.
- 过器设计的演变增加了它们的可用性,但关于最佳指示,安全性和有效性的争论仍在继续.
研究的目的:
- 系统地审查与下腔静脉 (IVC) 过器放置相关的并发症.
- 根据过去二十年发表的数据,评估IVC过器的有效性和安全性.
主要方法:
- 在ProQuest,PubMed和ScienceDirect数据库中进行了系统的文献搜索.
- 在2002年2月1日至2022年10月1日期间发表的文章被纳入,遵守PRISMA指南.
- 关键词包括"IVC过器和并发症"和"下静脉卡瓦过器和血栓";在选后,选出了117篇相关文章.
主要成果:
- 有令人信服的证据表明,IVC过器在适当的治疗窗口内使用时,可以显著保护PE,并发症最小.
- 尽管现有过器模型的种类更广泛,但关于它们的准确指示,安全性和整体有效性仍然存在争议.
- 审查发现需要进一步研究,以制定IVC过器放置的明确指导方针,并划出相对于益处的并发症的时间进程.
结论:
- 如果在正确的临床时间框架内明智地部署,IVC过器可以有效地预防PE.
- 进一步的研究对于制定IVC过指标和管理策略的基于证据的指导方针至关重要.
- 澄清内置IVC过器的长期风险效益比对于优化患者护理至关重要.
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