放射性动脉对外周血管干预的安全性和有效性:一个单一中心的经验
Sameh Sayfo1, Mohammed Salih1, Ghadi Moubarak2
1Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas.
The American journal of cardiology
|June 30, 2024
概括
放射性动脉 (RA) 接入是各种外周血管干预 (PVI) 的可行选择,其并发症率较低. 需要进一步的研究来比较其安全性和有效性与传统的股骨动脉接入相比.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 放射性动脉 (RA) 接入是冠状动脉手术的首选,原因是并发症较少,患者满意度更高.
- 关于外周血管干预 (PVI) 的RA接入数据有限.
研究的目的:
- 评估PVI的RA接入的可行性和结果.
- 通过RA接入评估经过PVI的患者的并发症率和手术成功率.
主要方法:
- 通过RA访问进行PVI的143名患者的回顾性审查 (2020年2月 - 2022年9月).
- 从前性维护的机构数据库中收集的数据.
- 分析解剖位置,程序细节和并发症.
主要成果:
- 在491个PVI程序中,31.8%使用RA访问.
- 常见的干预部位包括大腿,腹腔和关动脉.
- 周围手术并发症率低 (3.84%),接入部位血液瘤最常见 (3.2%).
- 住院中风率为0.64%,30天死亡率为1.4%.
结论:
- 射线动脉接入是一种可行的方法,用于一系列PVI手术.
- 对于PVI的RA接入的安全性和好处,与大腿部接入相比,需要进一步调查.
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