穿孔部位并发症的风险因素 在内血管治疗中使用血管密封闭关装置:单中心分析
Takahiro Yokoyama1, Ryoichi Hamasuna1, Hajime Ohta2
1Department of Neurosurgery, Saito-Koyu Medical Center, Saito, Miyazaki, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
血管封闭装置Angio-Seal对于神经内血管治疗是安全的. 然而,像狂妄症和特定动脉穿刺等风险增加了并发症的发生率,需要仔细选择患者.
科学领域:
- 干预神经病学 干预神经病学
- 血管外科 血管外科
- 医疗器械安全 医疗器械安全
背景情况:
- 神经内血管治疗依赖于有效的血管接入和关闭.
- 血管闭塞装置 (VCD) 旨在减少与动脉穿刺相关的并发症.
- 血管密封装置是内血管手术中常用的VCD.
研究的目的:
- 在神经内血管程序期间评估与Angio-Seal设备相关的并发症率.
- 为了确定导致Angio-Seal使用后并发症的风险因素.
主要方法:
- 对283名接受Angio-Seal血液静止的患者进行了回顾性分析.
- 检查医疗图表,以评估主要和小并发症的发生率.
- 在并发症和无并发症组之间比较基线特征和程序因素.
主要成果:
- 整体并发症率为8.1% (1.8%主要,6.3%小).
- 两组之间基线或程序因素没有显著差异.
- 对重大并发症的确定的危险因素包括表面大腿动脉穿刺,8Fr设备的使用,Angio-Seal Evolution,心血管支架后,双重抗血小板治疗和妄想.
结论:
- 在神经内血管治疗中,Angio-Seal设备通常对血管关闭是安全和有效的.
- 穿孔部位的并发症是令人担忧的,特别是在患有禁忌或妄想症的患者中.
- 仔细选择和监测患者至关重要,以最大限度地降低风险.
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