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基于的血管关闭与大孔动脉瘤的手术关闭:现实世界的经验

Keshava Murthy¹, Ratheesh Kumar J¹, Navjyot Kaur²

¹Cardiology Department, Army Hospital Research and Referral, New Delhi, IND.

|March 27, 2024

概括

使用基于的血管关闭装置 (VCD) 进行大动脉切割的穿皮关闭与开放的手术关闭一样有效,没有增加主要的血管并发症. 这种方法显著减少了手术时间,行走时间和出院时间,提高了患者的舒适度,并可能降低了成本.

科学领域:

心血管干预心血管干预
血管外科血管外科

背景情况:

在TAVI,EVAR,TEVAR和LVAD植入等手术中,大孔动脉接入至关重要.
本研究将使用基于的VCD进行穿皮关闭与大动脉切除术的开放手术关闭进行比较.

研究的目的:

为了比较穿皮关闭与基于的VCDs的技术成功率和血管并发症率,与大动脉切除术的开放手术关闭相比.
评估二次结果,包括程序的时间,行走和出院.

主要方法:

一项前性研究比较Perclose ProGlide (PP) VCD与大孔动脉通道 (≥12F) 的开放外科 (OS) 关闭.
主要结局包括技术成功和主要的血管并发症 (BARC 3+出血,失败的静血,急性血管封闭).
二次结局包括血瘤大小,伪动脉瘤和急性四肢缺血症.

主要成果:

在PP和OS组之间,技术成功率和重大并发症率相似 (95.55%对97.87%).
在PP组中观察到明显更高的血瘤发病率>5厘米 (7.78% vs 0%).
在PP组中,程序,行走和出院的时间明显较短.

结论:

大型动脉切除术的穿皮关闭与基于的VCD是有效和安全的,没有增加主要血管并发症的风险.
PP组的治疗时间显著缩短了手术,行走和出院时间.
这些发现表明,穿皮关闭在患者舒适性和成本效益方面具有好处.

关键词:

大孔动脉切除术的大孔动脉切除术开放式的外科关闭.通过近距离的proglide.关闭技术的关闭技术.技术上的成功技术上的成功血管并发症血管并发症

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