下静脉卡瓦波器放置参数可能预测波器检索结果
Zhang-Wei Huang1, Gui-Lin Yang1, Qing Li2
1Department of Vascular, Abdominal & Hernia Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Annals of vascular surgery
|July 18, 2024
概括
下腔静脉直径在放置时预测取回难度. 过器子的支架和停留时间也使下静脉膜过器的检索复杂化,直径影响过器的倾斜.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗设备工程 医疗设备工程
背景情况:
- 下腔静脉 (IVC) 过器对于预防肺栓塞至关重要.
- 了解影响可检索IVC过器放置和检索的因素对于患者安全至关重要.
- 过器的错位和具有挑战性的检索可以导致并发症.
研究的目的:
- 调查IVC过器放置因素与检索结果之间的相关性.
- 为了确定影响可取回 IVC 过器放置倾斜角度的因素.
- 为了确定复杂的过器检索程序的预测因素.
主要方法:
- 对163名接受可检索IVC过器放置和检索的患者进行了回顾性研究.
- 数据收集包括患者特征和与过器相关的因素.
- 由光镜时间 (>8分钟) 或先进技术定义的复杂检索;用于分析影响因素的回归模型.
主要成果:
- 所有163个过器都成功检索了;22.7%是复杂的检索.
- IVC直径 (16±1.8毫米),过器脚和停留时间与复杂的检索相关.
- IVC直径,患者年龄和过器品牌显著影响过器放置倾斜.
结论:
- 放置时的IVC直径是检索困难的关键预测因素.
- 过器脚和长时间停留时间增加了复杂的IVC过器检索的风险.
- IVC直径与过器倾斜程度密切相关,影响放置的准确性.
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