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置于透析电路通道区的支架移植的粘性和耐久性

Shimon Aronhime¹, Alexey Timokhin¹, Shmuel Balan¹

¹Department of Interventional Radiology, Shamir Medical Center (Assaf Harofeh), Israel, Tel Aviv University, Tel Aviv, Israel.

Journal of vascular and interventional radiology : JVIR

|September 25, 2023

概括

在血液透析通道区的支架移植 (SG) 是安全和耐用的,显示良好的通透率. 这些SG允许成功进入透析,并且没有表明支架骨折或感染.

科学领域:

血管外科血管外科
腎臟病學 (nephrology) 是一種醫學專業.
干预性放射学干预性放射学

背景情况:

血液透析接入电路需要持久和专利的通道区域.
支架移植 (SG) 用于治疗这些关键区域的病理.
评估SG在通道区域的性能对于患者护理至关重要.

研究的目的:

评估在血液透析接入回路的通管区放置的支架移植 (SG) 的安全性,耐用性和通透率.
为了确定SGs在治疗管区内残留狭窄,穿孔,动脉瘤和血栓的疗效.
评估血液透析SG的长期性能和安全性.

主要方法:

对40名患者 (25名男性,15名女性;平均年龄70岁) 的回顾性分析,这些患者在2020年4月至2023年4月期间在管区接受了SG.
在所有病例中都使用了Covera覆盖式支架 (BD),包括26个动脉静脉管 (AV) 和14个AV移植.
通过血管图像评估后续结果,重点关注初级透性,初级辅助透性和二次透性.

主要成果:

初级通透率在6个月时为89%,在12个月时为74%.
初级辅助透视率在6个月时为89%,在12个月时为78%.
在6个月和12个月的时间里,二次通透率仍然很高,为97%,没有观察到支架骨折或感染.

结论:

植入用于通管区病理的支架移植对于透析通管是安全的.
SG在血液透析接入回路中显示出足够的短期和中期通透率.
在通道区使用SG是管理接入电路病理的一个可行的选择.

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