内静脉激光切除后的静脉血栓形成,有或没有血栓预防
H Hong Keo1, Jonas Knoechel2, Nicolas Diehm2
1Division of Angiology, Vascular Institute Central Switzerland, Aarau, Switzerland; Department of Angiology, University Hospital and University of Basel, Basel, Switzerland.
Journal of vascular surgery. Venous and lymphatic disorders
|August 9, 2023
概括
静脉血栓栓塞 (VTE) 在静脉内激光切除 (EVLA) 后是罕见的. 这项研究发现,随着或没有药理学预防,静脉瘤的发病率很低,这表明EVLA对静脉瘤是安全的.
科学领域:
- 血管外科 血管外科
- 弗莱博学 (Phlebology) 是一种神经病学.
- 血栓形成研究研究
背景情况:
- 静脉血栓栓塞 (VTE) 是静脉内激光切除 (EVLA) 后的罕见并发症.
- 评估VTE发生率对于优化EVLA后患者护理至关重要.
研究的目的:
- 为了评估EVLA后的VTE发生率.
- 为了比较接受药理学预防的患者和没有接受药理学预防的患者之间的VTE病率.
主要方法:
- 来自VEINOVA注册表的223名接受EVLA治疗的患者的回顾性分析 (2019年10月至2020年3月).
- EVLA使用了带有辐射纤维的1470nm激光;应用了瘤麻醉.
- 患者接受了为期3天的血栓预防治疗 (rivaroxaban或LMWH) 或没有预防治疗;随访包括1周和4周的双重超声波.
主要成果:
- 在两组中,在1周内都没有发生血栓事件.
- 在4周后,没有预防的组有1次EHIT (1.1%) 和1次肺栓塞 (1.1%);预防组有1次深静脉血栓塞 (0.8%).
- 两组之间VTE事件的调整后P值为0.135,表明没有统计学上显著的差异.
结论:
- 干部静脉静脉的内静脉激光切除显示出低的血栓事件率.
- 目前的数据表明,EVLA在药理性血栓预防中或不使用时是安全的.
- 需要进一步的研究,以确定EVLA后血栓预防的最终建议.
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