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穿皮VA-ECMO从注射器到脱器:在儿科中使用新型血管闭塞装置

Ernesto Mejia¹, Elaina Cummer¹, Gareth J Morgan¹

¹The Heart Center, Children's Hospital Colorado, University of Colorado, 13123 E 16th Ave, B100, Aurora, CO, 80045, USA.

Pediatric cardiology

|July 7, 2023

概括

在儿科患者中,静脉动脉外体膜氧化 (VA-ECMO) 解管可以使用MANTA血管闭塞装置安全地实现. 这种方法避免了手术修复,减少了与VA-ECMO切除相关的风险.

科学领域:

儿童心脏病学儿童心脏病学
心血管外科心血管外科
医疗器械技术医疗器械技术

背景情况:

静脉动脉外体膜氧化 (VA-ECMO) 是儿科心脏性休克的一个关键干预措施.
从VA-ECMO进行脱通常需要进行手术修复血管,这带有固有的风险.
寻求血管关闭的最小侵入性技术来改善患者的治疗结果.

研究的目的:

评估MANTA血管闭塞装置在儿科患者皮肤穿透VA-ECMO脱管治疗中的安全性和有效性.
为了比较MANTA设备关闭的结果与VA-ECMO访问站点的传统手术修复.

主要方法:

一个回顾的案例系列的八名儿科患者接受VA-ECMO脱.
利用MANTA的原插头为基础的血管关闭装置,用于常见的股骨动脉接入部位的关闭.
记录了程序的成功,解锁时间和与访问站点相关的并发症.

主要成果:

在8名患者中,有7名 (87.5%) 通过使用MANTA设备成功地进行了脱,而没有与接入部位相关的血管并发症.
一名患者经历了设备故障,需要转换为手术切割和动脉修复.
在成功治疗的患者中,没有报告重大出血事件或伪动脉瘤.

结论:

在儿童群体中,MANTA血管闭塞装置代表了穿皮VA-ECMO脱管治疗的可行选择.
这种技术可以减少手术干预和相关并发症的需要.
仔细选择患者和操作人员的经验对于优化成功率和减轻潜在的技术挑战至关重要.

关键词:

在ECMO中,解化是ECMO的功能.曼塔 (MANTA) 装置是一个装置.在 Perclose ProGlide 设备上使用 Perclose ProGlide.

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