实时超声波导向静脉关闭的可行性和有效性与接介导的血管关闭装置
Masaya Tachi1, Akihito Tanaka2, Tsubasa Teraoka3
1Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Cardiology, Nakatugawa Municipal Hospital, Nakatugawa, Japan.
Heart rhythm
|April 12, 2024
概括
实时超声波指导显著减少了静脉接入并发症和导管切除过程中设备故障. 这种方法还可以更快地使患者行走,改善整体结果.
科学领域:
- 干预心脏病学 干预心脏病学
- 血管接入管理系统
- 医疗器械技术 医疗器械技术
背景情况:
- 静脉血管接入并发症在通过静脉导管干预后很常见.
- 血管闭塞装置 (VCD) 为静脉血静提供了一个解决方案.
- 优化VCD的使用对于患者的安全和康复至关重要.
研究的目的:
- 评估实时超声波导向静脉关闭的可行性和有效性.
- 为了比较 suture-mediated VCDs 带有和没有超声波指导的结果.
- 评估其对静脉接入部位并发症和患者移动性的影响.
主要方法:
- 这是一项单一中心的观察性研究,对226名接受导管切除的患者进行了观察.
- 股骨静脉穿刺,然后进行血液静止的VCD.
- 实时超声导向VCD (n=123) 与非超声导向VCD (n=103) 的比较.
主要成果:
- 使用超声波指导显著降低设备故障率 (1.6%对6.3%,P=.048).
- 在超声指导下大大减少了静脉通道部位并发症 (4.9%对18.4%,P=.001).
- 在超声指导下观察到更短的行走时间 (2.0对2.2小时,P<.001).
结论:
- 实时超声波指导通过VCD增强静脉关闭.
- 超声波指导有效地减少了设备故障和访问站点并发症.
- 这种技术通过减少行走的时间来改善患者的康复.
相关概念视频
Varicose Veins II: Diagnostic Studies and Interprofessional Care
319
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
319
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
469
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
469


