静脉入口和静脉孔过器在放置和取出时的角度之间的关系:一个多中心的回顾性队列研究
Maofeng Gong1, Rui Jiang1, Boxiang Zhao1
1Department of Interventional and Vascular Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, P. R. China.
Therapeutic advances in chronic disease
|September 25, 2023
概括
下腔静脉 (IVC) 过器倾斜对于预防肺栓塞至关重要. 股骨静脉接入显示了放置和取回之间的倾斜差异较大,而内静脉接入最初的倾斜差异较小.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 下腔静脉 (IVC) 过器是预防致命肺栓塞 (PE) 的重要血管内器件.
- 最佳的过器功能取决于保持IVC过器在中心位置.
研究的目的:
- 为了比较IVC过器的倾斜角度,基于血管接入部位 (内静脉与股骨静脉).
- 为了确定影响IVC过器在放置和取回之间倾斜变化的因素.
主要方法:
- 一项多中心回顾性研究分析了184名患者的数据 (2017年10月 - 2019年3月).
- 主要结果:过器倾斜的变化,从放置到取回.
- 二次结果:使用统计分析,包括多变量逻辑回归来识别与倾斜角度变化相关的因素.
主要成果:
- 内部关静脉 (IJV) 接入与关静脉 (FV) 接入相比,在放置时显著倾斜 (>10°) 的可能性较低.
- FV访问与放置和取回之间的过器倾斜的较大差异相关.
- 右侧或双侧下肢深静脉血栓塞 (LEDVT) 作为保护因素,防止IVC波器倾斜增加.
结论:
- 血管接入部位显著影响IVC过器倾斜动态.
- 在初始波器定位方面,IJV接入可能具有优势,而FV接入则与更大的倾斜变化有关.
- 存在LEDVT是一种影响IVC波器倾斜的保护因素.
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