在非医院环境中治疗周围动脉疾病
1Vascular and Interventional Physicians, Gainesville, Florida.
Seminars in interventional radiology
|June 19, 2023
概括
周围动脉疾病 (PAD) 治疗越来越倾向于微创内血管程序. 办公室实验室和门诊外科中心为下肢动脉干预提供了安全有效的替代方案.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在过去的30年里,周围动脉疾病 (PAD) 治疗转向了不那么侵入性的内血管选择.
- 这种转变为患者提供了诸如减少疼痛,血液流失和更快恢复等好处.
- 传统的PAD开放外科手术已经显著下降.
研究的目的:
- 在非医院环境中检查出行下肢动脉干预 (LEAI) 的趋势.
- 评估在办公室实验室 (OBL) 和门诊外科中心 (ASC) 执行LEAI的安全性和有效性.
- 将OBL/ASC作为PAD患者可行的替代服务地点.
主要方法:
- 在过去的三十年中,PAD治疗策略的趋势审查.
- 分析向外行下肢动脉干预的趋势.
- 检查在办公室实验室和门诊外科中心执行LEAI的概念.
主要成果:
- 从开放式手术逐渐转向PAD的内血管治疗是显而易见的.
- 患者报告的内血管程序的结果通常是积极的.
- 在过去的20年里,PAD的开放外科手术程序显著下降.
结论:
- 办公室实验室和门诊外科中心代表了执行LEAI的逻辑延伸.
- 这些非医院环境为PAD患者提供安全的替代服务地点.
- 在OBLs/ASCs中,越来越少的侵入性,门诊干预的趋势得到了积极的患者结果的支持.
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