在大动脉手术过程中,皮肤穿透到关动脉第一段和第三段的结果
Andrea Melloni1, Luca Bertoglio1, Wouter Van den Eynde2
1Division of Vascular Surgery, Vita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute, Milan, Italy.
概括
穿皮关动脉 (AXA) 进入大动脉手术是安全的,并发症率低. 虽然第一个 (AXA1) 和第三个 (AXA3) 段都是可行的,但在AXA1.1中,更大的外性能更好.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 大动脉程序 大动脉手术
背景情况:
- 穿皮下关动脉 (AXA) 接入是大动脉手术中转骨接入的替代方案.
- 在第一 (AXA1) 和第三 (AXA3) 关动脉段之间进行皮肤通道的选择需要进一步调查结果.
研究的目的:
- 在大动脉手术过程中,使用第一 (AXA1) 与第三 (AXA3) 段与闭塞装置进行皮肤穿透关动脉 (AXA) 接入的结果进行比较.
主要方法:
- 一个追溯的多中心注册表包括412名患者,他们接受了用闭合装置进行皮肤通透的AXA接入.
- 疗效被定义为技术上成功的穿皮手术 (没有开放转换),安全终点包括中风和进入并发症.
- 对比了AXA1和AXA3的穿孔部位,并分析了外大小和接入侧.
主要成果:
- 在412次访问中没有发生重大血管并发症;开放转化率为1%.
- 卒中发生率为4.4%. 导入器>12F与接入并发症和中风有关.
- AXA1和AXA3的成功率相似,但AXA3的外>10F的结果比AXA1.1更差.
结论:
- 穿皮AXA接入是安全的,局部并发症不常见,可控.
- 无论是AXA1和AXA3都适合进入,但较大的外 (>12F) 在更广泛的AXA1细分市场中表现更好.
- 为关闭失败而进行的救助计划表现出了卓越的中期通透性.
相关概念视频
01:24Cardiac Catheterization III: Left Heart Catheterization
40
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
40
01:12Arteries of the Upper Limbs
643
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
643
01:26Aneurysm III: Interprofessional Care
9
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
9
01:27Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
01:22Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
01:25Assessment of apical radial pulse
772
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
772