贝贝克穿越导管在皮肤穿透深静脉动脉化过程中形成鱼的实用性
Daniel Yuxuan Ong1, Enming Yong2, Uei Pua1
1Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.
Journal of vascular surgery cases and innovative techniques
|October 6, 2023
概括
穿皮深静脉动脉化 (pDVA) 为慢性四肢缺血提供了最后的四肢救援选择. 在五个案例中,BeBack交叉导管证明了安全性和可行性,成功实现了血管交叉.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 再生医学是一种再生医学.
背景情况:
- 慢性肢体威胁性缺血症 (CLTI) 是一个重大挑战,经常让患者"没有选择"进行治疗.
- 穿皮深静脉动脉化 (pDVA) 是高级CLTI的潜在最终肢体救援策略.
研究的目的:
- 评估使用BeBack交叉导管用于pDVA在"无选择"CLTI患者中的安全性和可行性.
- 在这个患者队列中报告手术成功率,肢体挽救率和伤口关闭率.
主要方法:
- 一系列病例描述了2021年11月至2022年7月期间接受pDVA的五名患者.
- 使用了BeBack交叉导管 (本特利InnoMed GmbH) 进行成功的血管接入.
- 记录人口统计数据,程序细节和患者结果,包括肢体救援和伤口关闭.
主要成果:
- 在使用BeBack设备的所有五个案例中都取得了成功的血管穿越.
- 在手术过程中没有报告任何手术并发症.
- 该研究观察到,肢体的挽救率为60%,伤口的关闭率为40%.
- 在随访期间没有发生死亡.
结论:
- 贝巴克交叉导管是一种安全且可行的设备,用于执行pDVA.
- 使用BeBack导管的pDVA显示出作为"没有选择"的CLTI患者的四肢救援干预措施的希望.
- 需要对更大的队列进行进一步的研究,以证实这些初步发现.
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