下腔静脉过器放置位置对装置并发症的影响
Scott Grubman1, Valentyna Kostiuk1, Anand Brahmandam2
1Department of Surgery, Yale University School of Medicine, New Haven, CT.
概括
在本研究中,下腔静脉 (IVC) 过器放置位置没有显著影响长期并发症,如IVC血栓形成. 这项研究发现,不管过器相对于静脉的位置如何,并发症率很低.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 干预性放射学 干预性放射学
背景情况:
- 内置下静脉 (IVC) 过器与透,迁移和血栓形成等并发症有关.
- 计算流体动力学表明,柔克斯塔雷纳安置可能会降低血栓形成风险,但临床数据有限.
- 这项研究研究了IVC过器放置位置对长期设备并发症,特别是IVC血栓形成的临床影响.
研究的目的:
- 评估IVC过器放置位置对长期设备相关并发症的影响.
- 为了确定过器放置尾部到静脉是否会增加IVC血栓形成的风险.
- 为了在不同的波器放置组中比较患者和程序特征和结果.
主要方法:
- 在2008年至2016年期间接受IVC过器的1497名患者的回顾性审查.
- 在静脉图上测量过器顶部到下静脉的距离,将其分类为三个组 (上部,1-20mm下部,>20mm下部).
- 通过多变量逻辑回归分析,在两组之间比较IVC血栓形成和与设备相关的死亡率.
主要成果:
- 两组之间没有观察到短期或长期并发症 (血瘤,DVT,PE) 的统计学上显著差异.
- 静脉血栓发生率显示,随着更多的尾部位置 (1.5%至2.5%),增加的趋势是不显著的.
- 多变量分析证实,过器放置位置没有预测IVC血栓形成或其他重大不良事件.
结论:
- IVC过器显示了短期和长期并发症的低发病率,包括IVC血栓形成.
- 过器放置位置没有被发现是影响该队列设备并发症发生的重要因素.
- 这些发现表明,目前的IVC过器放置实践与低并发症概况有关,无论与静脉相对的精确定位如何.
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