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在皮肤成像引导腹部活检过程中,双极射频轨道的可行性和安全性
Paul B Shyn1, Adeel R Seyal2, Ravi V Gottumukkala2
1Department of Radiology, Abdominal Imaging and Intervention, Harvard Medical School, Brigham and Women's Hospital, 75 Francis St., Boston, MA, 02115, USA. pshyn@bwh.harvard.edu.
Abdominal radiology (New York)
|October 10, 2023
概括
双极射频轨道烧伤 (BRTC) 是一种安全且可行的方法,用于在高危患者的图像引导腹部活检期间减少出血. 该程序表现出高度的技术成功和较低的轻度出血事件率.
科学领域:
- 干预性放射学 干预性放射学
- 医疗器械技术 医疗器械技术
- 患者安全 患者安全
背景情况:
- 皮肤成像导向腹部活检对于诊断至关重要,但会带来出血风险,特别是在患有凝血病或其他风险因素的患者中.
- 在干预性放射学中,尽量减少出血对于患者安全和程序成功至关重要.
- 需要新的技术来提高这些程序的安全性.
研究的目的:
- 评估在皮肤成像导向腹部活检期间使用双极射频轨道烧伤 (BRTC) 的可行性和安全性.
- 评估与BRTC相关的技术成功率和不良事件发生率在高危患者中.
主要方法:
- 一项对42名风险患者进行的回顾性研究,这些患者接受了图像引导的腹部活检,并使用了预期的BRTC.
- BRTC涉及插入一个18G射频电极的活检后烧灼轨道.
- 收集的数据包括出血风险因素,技术成功和不良事件.
主要成果:
- 在98% (41/42) 的程序中,BRTC在技术上取得了成功.
- 这项研究包括了具有多种风险因素的患者 (例如,血小板缺血,抗凝血,高血管质量).
- 没有发生严重的不良事件 (级别3+);只有5% (2/41) 经历了轻微的无症状出血.
结论:
- 双极性射频轨道烧结是一种可行且安全的补充,可以通过皮肤进行图像引导的腹部活检.
- 在患有显著出血风险因素的患者中,BRTC有效地降低了出血并发症.
- 这种技术提供了一种有前途的方法来提高干预放射学程序的安全性.
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