与下静脉卡瓦过器检索相关的并发症:系统性审查
Amanda K Rodriguez1, Anjali Goel1, Vasavi R Gorantla2
1Internal Medicine, St. George's University School of Medicine, St. George's, GRD.
Cureus
|March 29, 2024
概括
下腔静脉 (IVC) 过器检索并发症随着停留时间的增加而增加. 严格的协议和患者教育对于安全的IVC过器去除和预防不良事件至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗器械安全 医疗器械安全
背景情况:
- 下腔静脉 (IVC) 过器可以预防高风险患者的血栓栓塞.
- 可检索的IVC过器是常见的,但检索带有风险.
- 随着长时间的IVC过器停留时间,并发症率会增加.
研究的目的:
- 分析与IVC过器检索相关的并发症.
- 调查停留时间,过器类型和定位对检索结果的影响.
- 确定导致IVC过器检索并发症的因素.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,ProQuest和ScienceDirect数据库中进行文献搜索.
- 包括2012年以后发表的55篇文章,重点关注IVC过器检索并发症.
主要成果:
- IVC过器检索程序与显著的并发症率有关.
- 过器停留时间延长是导致并发症的主要因素.
- 失去跟进和缺乏严格的删除协议增加了风险.
结论:
- 患者教育和遵守移除时间表对于IVC过器的安全性至关重要.
- 实施严格的协议可以减轻与IVC过器检索相关的风险.
- 对高级检索技术的进一步研究可能会改善结果.
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