在患有症状透析接入相关的Steal综合征的患者中,使用远程输入进行修订的有效性
Rashid Usman1, Muhammad Jamil2, Rabail Fatima3
1Department of Surgery, Combined Military Hospital, Lahore Cantt, Pakistan.
Annals of vascular diseases
|October 2, 2023
概括
使用远端输入 (RUDI) 的修订有效地治疗透析接入相关盗窃综合征 (DASS) 症状,改善麻醉,疼痛和血液循环. 这种程序为患有DASS并发症的患者提供了有价值的选择.
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:
- 透析接入相关的Steal综合征 (DASS) 是动脉静脉接入的并发症,导致远端缺血.
- 症状性DASS显著影响患者的生活质量,并可能导致严重的并发症.
研究的目的:
- 为了评估使用远端输入 (RUDI) 的修订在治疗症状性DASS的有效性.
- 评估RUDI对各种DASS症状和客观血管参数的影响.
主要方法:
- 一项研究包括35名患有3级或4级DASS的患者,他们接受了RUDI.
- 收集的数据包括患者人口统计数据,手术前后症状得分,囊流量率和血管成像发现.
主要成果:
- 在RUDI中,对麻醉 (81.2%),冷静 (79.4%),疼痛 (78.1%),变色 (76.4%) 和 (71.4%) 的症状有显著改善.
- 50%的患者观察到的愈合,所有患者的炎进展都停止了.
- 在RUDI后,管流速显著下降 (57.5%),而数位静脉压力改善 (71.4%),手腕动脉的峰值静脉速度增加.
结论:
- 鲁迪是缓解DASS症状的有效方法.
- 使用本地静脉作为导管使得RUDI成为高流量DASS的首选选择.
- 鲁迪在3,6个月和12个月 (100%,91.4%,85.7%) 提供了卓越的累积穿透率.
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