在膝关节骨关节炎的生殖动脉栓塞过程中,对跨脚踏和跨关节接入的比较分析
Özgür Kılıçkesmez1, Ali Dablan2, Tevfik Güzelbey1
1Department of Radiology, Basaksehir Cam and Sakura City Hospital, 34488, Istanbul, Turkey.
Cardiovascular and interventional radiology
|May 24, 2024
概括
外接入 (TFA) 对于生殖动脉栓塞 (GAE) 更安全,更快,并发症更少. 跨脚踏接入 (TPA) 为复杂的病例提供了一个替代方案,尽管它涉及更多的辐射和更长的程序时间.
科学领域:
- 干预性放射学 干预性放射学
- 血管医学 血管医学
- 疼痛管理 疼痛管理
背景情况:
- 生殖关节动脉栓塞 (GAE) 是一种新兴的治疗膝关节骨关节炎疼痛的方法.
- 外接入 (TFA) 和外接入 (TPA) 是GAE的两个主要血管接入路径.
- 将这些接入方法的安全性和有效性进行比较对于优化患者的治疗结果至关重要.
研究的目的:
- 在经过生殖关节动脉栓塞 (GAE) 的患者中,比较跨脚踏接入 (TPA) 与输接入 (TFA) 的疗效和安全性.
主要方法:
- 在2023年1月至6月期间接受GAE的60名患者进行了回顾性研究.
- 结果在TFA (n=37) 和TPA (n=23) 组之间进行了比较.
- 评估包括技术和临床成功率,并发症发生率和患者报告的结果.
主要成果:
- 无论是TFA还是TPA,都在没有重大并发症的情况下实现了100%的技术成功.
- 在TPA组经历了较高的轻微并发症 (例如,皮肤变色) 和血管.
- 与TFA相比,TPA与更长的手术持续时间,更长的光镜时间和更高的辐射剂量有关.
- 然而,TPA患者报告了显著缩短的恢复时间和较少的术后不适,特别是减少了背部疼痛.
结论:
- 外接入 (TFA) 对于生殖关节动脉栓塞 (GAE) 通常更安全,更快,与更少的并发症和更低的辐射暴露有关.
- 跨脚踏接入 (TPA) 作为一个可行的替代方案,对于具有挑战性的沟解剖的患者,尽管它的缺点.
- 在3个月后的随访中,两种访问方法的临床成功率是可比的.
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