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使用FlowTriever和ClotTriever系统的下静脉膜过器相关的马血栓的机械血栓切除术
Richard Longfei Li1, Antanina Voit2, Sarah Jane Commander2
1Carle Illinois College of Medicine, University of Illinois at Urbana-Champaign, Urbana, IL.
概括
使用ClotTriever和FlowTriever系统的机械血栓切除术有效清除了急性下静脉膜过器相关的血栓,在所有成功病例中消除了症状. 在手术过程中仔细保护过器对于患者的安全至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 血栓形成的管理
背景情况:
- 下腔静脉过器 (IVCF) 可以导致严重的并发症,包括血栓形成.
- 与IVCFs相关的急性血栓形成是一个重大的临床挑战.
研究的目的:
- 为了评估使用Inari ClotTriever和FlowTriever系统用于IVCF相关的 iliocaval血栓的机械和吸收血栓切除术的结果.
- 评估这些血栓切除系统在一个机构的技术成功和临床有效性.
主要方法:
- 对15名接受ClotTriever或FlowTriever血栓切除术的IVCF相关马匹血栓症患者 (2019-2022) 的回顾性审查.
- 对患者人口统计,临床特征,手术成功和手术后结果的分析.
- 包括程序内过器保护措施.
主要成果:
- 技术成功率为73.33% (15名患者中的11名).
- 在技术上成功的程序中100%解决急性症状.
- 显著降低块负担,涉及腔,阴茎和股骨脉.
- 30天死亡率为13% (15名患者中的2人),原因包括肺栓塞和恶性瘤.
结论:
- 使用ClotTriever和FlowTriever系统的机械和吸气血栓切除术在IVCF相关的血栓中取得了良好的技术成功.
- 这些系统可以显著改善急性症状和充分的凝块清除.
- 在肺栓塞预防中,程序内近位栓塞保护和过器保护对于肺栓塞预防非常重要.
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