在急性脏出血中选择性跨动脉栓塞失败的预测因素:单中心体验
C Floridi1,2,3, L M Cacioppa3, N Rossini4
1Department of Clinical, Special and Dental Sciences, University Politecnica Delle Marche, 60126, Ancona, Italy.
Emergency radiology
|July 22, 2023
概括
动脉分支的跨动脉栓塞 (RTE) 对于脏出血是有效的. 较大的血瘤体积和血清肌素,血小板数和eGFR的特定变化预测临床失败.
科学领域:
- 干预性放射学 干预性放射学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
背景情况:
- 动脉分支的跨动脉栓塞 (RTE) 是严重脏出血的标准微创治疗方法.
- 目前对RTE缺乏指导方针,需要进一步调查其有效性和失败预测因素.
研究的目的:
- 评估脏出血RTE的临床和技术成功率.
- 为了确定RTE程序后临床失败的预测因素.
主要方法:
- 在10年内对51名接受RTE治疗的患者进行了回顾性分析.
- 术前和术后的计算机断层扫描血管学 (CTA) 用于评估.
- 临床成功是主要的终点;人口统计,实验室和成像发现被分析为预测价值.
主要成果:
- 技术成功率为100%,临床成功率为80.4%.
- 临床失败的预测因素包括大血瘤体积 (>258.5厘米3),手术前和后血清肌氨酸 (Scr) 升高,手术后显著的Scr增加 (>0.135毫克/分升),手术后估计的淋巴细胞过率 (eGFR) 降低,显著的eGFR减少 (<3.350毫升/分钟),血小板数量减少 (>46.50 × 103/mmc).
结论:
- RTE是急性脏出血的安全有效治疗方法.
- 血瘤体积,血清肌素,血小板计数和eGFR是临床结果的重要预测指标,需要在术后密切监测.
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