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跨的方法:与传统的血管内治疗对本地动脉静脉的比较
Dong Kyu Lee1, Sung Bum Cho1, Jung Won Kwak1
1Department of Radiology, Anam Hospital, Korea University College of Medicine, Seoul 02841, Republic of Korea.
The British journal of radiology
|January 24, 2024
概括
与传统方法相比,用于治疗内血管动脉静脉 (AVF) 的跨管方法显示出更高的长期通透率. 这种AVF治疗提供了有效的结果,改善了耐用性.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 血管内技术 血管内技术
背景情况:
- 动脉静脉 (AVF) 对于血液透析的准入至关重要.
- 功能障碍或不成熟的AVF通常需要内血管治疗.
- 对比不同的接入路径对于优化AVF治疗结果至关重要.
研究的目的:
- 为了比较跨管方法的疗效与常规方法对动脉静脉囊 (AVFs) 的内血管治疗.
- 评估技术成功,临床成功,手术时间,通透率和两种方法之间的并发症.
主要方法:
- 在2015年5月至2019年7月期间接受了内血管AVF治疗的112名患者的回顾性评估.
- 患者被分为横 (n=46) 和常规 (n=66) 组.
- 评估包括技术/临床成功,手术时间,通透性和并发症.
主要成果:
- 在技术成功 (87.0%与97.0%),临床成功 (80.4%与90.9%) 或手术时间 (60.2与57.9分钟) 中没有显著差异.
- 在横组中,累计初级通透率 (P=0.041) 和二次通透率 (P=0.014) 显著更高.
- 6个月的初级通透率为93.8%与91.5%,二级通透率为91.4%与86.5%.
结论:
- 通过内血管治疗AVF是一种成功和有效的程序.
- 横的方法与AVF的更长的通透期有关.
- 这种方法为内血管AVF治疗提供了更好的耐用性.
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