长期跟踪,重新干预的原因,以及对近道深静脉阻塞支架后监测的后果
Jay M Bakas1, Adriaan Moelker2, Catherine van Montfrans3
1Department of Vascular and Endovascular Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands.
概括
长期深静脉支架显示出急性深静脉血栓症 (DVT) 和血栓后综合征 (PTS) 的良好通透性. 再次干预,通常在第一年,可以通过改进技术和患者选择来预防.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 对急性深静脉血栓症 (DVT) 和血栓后综合征 (PTS) 的静脉支架越来越常见.
- 虽然短期的通透性是好的,但长期的结果和重新干预的原因需要进一步调查.
研究的目的:
- 评估急性DVT和PTS患者静脉支架的长期结果.
- 为了确定静脉支架后重新干预的主要原因.
主要方法:
- 在114名患者 (129个四肢) 的回顾性队列研究中,在2006年至2021年期间进行了静脉支架.
- 通过双重超声波或CT来评估Patency;使用Pouncey系统对重新干预的原因进行分类.
- 卡普兰-梅尔分析用于无重复干预的生存率;用于预测因子识别的后勤回归.
主要成果:
- 长期初级通透率为急性DVT的73.5%,PTS的63.2%.
- 二次通透率很高 (DVT的98.1%,PTS的92.1%).
- 大多数重新干预 (82.9%) 发生在第一年内,通常是由于错过的输入或血栓形成;输入疾病预测PTS的重新干预.
结论:
- 深静脉支架证明了对DVT和PTS的良好长期通透性.
- 重新干预主要集中在第一年,并且可以通过程序改进和患者选择来预防.
- 优异的二次通透性支持在选择的患者中考虑从长期监测中释放.
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