通过皮肤治疗青少年的症状深静脉血栓形成,使用大孔血栓切除系统
Eric J Monroe1, Michael A Woods2, David S Shin3
1Section of Vascular and Interventional Radiology, Department of Radiology, University of Wisconsin, 600 Highland Avenue, Madison, WI, 53792, USA. eric.j.monroe.md@gmail.com.
Pediatric radiology
|October 11, 2023
概括
大孔机械血栓切除术有效地消除了青少年的深静脉血栓,在没有血栓抑制剂的情况下实现了高的成功率. 这项研究强调了这些设备在年轻患者中的安全性和有效性.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 儿科医学 儿科医学
背景情况:
- 大孔机械血栓切除术是有效的静脉血栓的去除,经常避免血栓抑制剂.
- 关于其在儿科患者中使用的文献是有限的.
研究的目的:
- 评估大孔血栓切除系统在患有深静脉血栓症的青少年患者中的技术成功和临床结果.
主要方法:
- 对接受机械静脉血栓切除术的18岁以下患者 (2018-2022) 的回顾性审查.
- 技术上的成功被定义为恢复不受阻碍的流动;临床上的成功是症状的解决.
- 使用的设备包括ClotTriever和FlowTriever.
主要成果:
- 9名患者 (15-17岁) 接受了10次手术.
- 技术成功率为90%,临床成功率为88.9%.
- 没有使用血栓抑制剂;没有过程内不良事件;20%延迟轻微并发症.
结论:
- 大孔深静脉血栓切除术在青少年中取得了很高的技术和临床成功.
- 在各种血栓慢性和位置上有效.
- 证明了儿童深静脉血栓形成的安全有效的治疗选择.
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