相关实验视频
脑膜静脉切割方法完全植入的静脉接入口:一个单一机构的经验
Tsutomu Hataoka1, Yohei Sanmoto1, Shunji Kinuta1
1Department of Surgery, Takeda General Hospital, Fukushima, Japan.
Annals of vascular surgery
|June 25, 2023
概括
对于完全植入式静脉接入口 (TIVAPs) 的脑静脉切断方法显示了86.4%的成功率. 这种技术提供了一个更安全的替代方案与较少的早期并发症相比,传统的关节下穿刺方法.
科学领域:
- 血管外科 血管外科
- 在瘤学方面提供支持.
- 医疗器械植入 医疗器械植入
背景情况:
- 化疗需要完全植入的静脉接入口 (TIVAPs).
- 对于TIVAPs来说,传统的关节下穿刺与肺胸和血胸等早期并发症有关.
- 需要一种更安全的替代植入方法.
研究的目的:
- 评估头静脉切断方法的安全性和有效性,用于TIVAP植入.
- 为了比较并发症率与传统的穿孔技术.
主要方法:
- 通过脑静脉切割进行TIVAP植入的221名成年患者的回顾性分析.
- 评估技术成功率,操作时间和早期并发症.
- 随访数据最多收集了1698天.
主要成果:
- 技术成功率为86.4% (191/221),其中24次转换为关节下穿刺.
- 平均运行时间为53±21分钟.
- 早期并发症发生率低 (1.8%),没有肺胸,血胸或动脉穿孔直接归因于脑静脉切割方法.
结论:
- 对于TIVAP植入的脑静脉切断方法显示了可以接受的成功率.
- 这种技术与传统的关节下穿刺方法相比,早期并发症较少.
- 它代表了TIVAP安置的更安全的替代方案.
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