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在开放式外科手术与超声导向皮肤支臂接入内血管干预的不良事件

Evren Ozcinar¹, Nur Dikmen¹, Ahmet Kayan²

¹Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, Ankara 06230, Turkey.

Journal of clinical medicine

|July 27, 2024

概括

超声指导的皮肤穿手臂接入 (UPA) 在内血管干预中显示出比开放手术手臂接入 (OSA) 更高的并发症率. OSA与较少的术后血瘤和对外围动脉疾病管理的重新手术有关.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学
血管内干预血管内干预

背景情况:

对于外围动脉疾病,最好采用内血管方法.
常见的股骨动脉接入是标准的,但手臂接入用于复杂的大动脉干预.
对血管内主动脉手术进行手臂接入技术进行比较的数据有限.

研究的目的:

为了比较超声指导穿皮臂接入 (UPA) 和开放外科切口臂接入 (OSA) 之间的接入部位并发症.
为了评估血出,缺血,血栓,伪动脉瘤,,和神经损伤的发病率后臂接入.

主要方法:

对485名为外围动脉和大动脉疾病进行臂接入的患者进行了回顾性研究 (2019-2023年).
主要终点:30天访问站点并发症率.
并发症包括出血,缺血,血栓,伪动脉瘤,,和神经损伤.

主要成果:

与OSA (n=165,289.2分钟) 相比,UPA (n=320) 的平均操作时间 (164.5分钟) 显著更短.
在UPA (15/320) 和OSA (2/165) 中,术后血瘤的发生率更高.
在UPA (23/320) 和OSA (8/165) 中,重新运行率更高.

结论:

与OSA相比,UPA与手臂接入并发症的发生率更高.
尽管手术时间较长,但OSA可能是血管内动脉干预过程中手臂接入的更安全的替代方案.

关键词:

访问网站的并发症访问网站的并发症血管内干预血管内干预开放的外科切口.周围动脉疾病周围动脉疾病超声波指导是指导超声波的方法.

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