在BEST-CLI试验中,研究人员对配备和实践模式的态度
Alik Farber1, Jeffrey J Siracuse1, Kristina Giles2
1Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA.
Journal of vascular surgery
|December 6, 2023
概括
血管专家显示慢性四肢威胁性缺血 (CLTI) 的各种实践模式. 虽然内血管方法是常见的,但对于某些条件,开放式手术仍然是首选的,随着时间的推移观察到类似的平衡.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 干预性放射学 干预性放射学
背景情况:
- 在治疗慢性四肢威胁性缺血症 (CLTI) 的实践模式和配备中存在显著的变化.
- 在患有CLTI的患者中,最佳内血管与最佳外科治疗 (BEST-CLI) 试验旨在解决这些变异.
研究的目的:
- 评估BEST-CLI研究人员在试验前和之后对开放式 (OPEN) 和内血管 (ENDO) 重血管化策略的治疗偏好.
- 将当前的做法与2010年的历史数据进行比较.
主要方法:
- 在2022年,向1180名BEST-CLI调查人员分发了一份电子调查.
- 在OPEN和ENDO策略的各种临床场景中评估了研究人员的偏好.
- 回答与2010年对未来调查人员的调查进行了比较.
主要成果:
- 2022年的调查显示,反应率为20.2%,主要是血管外科医生 (76.3%).
- 常见的实践分配是70%的ENDO和30%的OPEN再血管化.
- 虽然血管外科医生的整体装备状况仍然相似,但偏好略有变化,在轻微的组织损失方面增加了ENDO选择,而OPEN手术更倾向于尾关闭.
结论:
- 治疗CLTI的血管专家表现出广泛的实践模式.
- 贝斯特-CLI的研究人员在先进的OPEN和ENDO技术方面都有经验.
- 在BEST-CLI试验的十年中,血管外科医生对CLTI治疗的平衡在很大程度上保持一致.
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