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中枢静脉导管相关的血栓在患有骨髓缩侧面硬化症的患者中

Maria Giuseppina Annetta¹, Giulia Barbato², Erika Pisciaroli²

¹Department of Anesthesia and Intensive Care, Catholic University Hospital "A.Gemelli," Rome, Italy.

The journal of vascular access

|August 2, 2024

概括

麻患者的中央静脉导管治疗,包括那些患有骨髓缩侧面硬化症 (ALS) 的患者,没有显示出与导管相关的血栓形成 (CRT) 的风险增加. 适当的插入技术和协议可以最大限度地减少并发症,使得像股插入中心导管 (FICCs) 这样的设备成为一个安全的选择.

科学领域:

医疗器械医疗器械
血管接入血管接入
神经学神经学

背景情况:

中枢静脉导管对于患有肌缩性侧面硬化症 (ALS) 的患者至关重要,这些患者需要通过肠道营养,抗生素或取血样.
经常被认为是导管相关血栓形成 (CRT) 的危险因素包括残或四肢.
存在各种中央静脉接入装置,包括中央插入的中央导管 (CICC),外围插入的中央导管 (PICC) 和大腿插入的中央导管 (FICC).

研究的目的:

分析导管相关血栓形成 (CRT) 和其他非传染性并发症的发生率.
评估残或四肢患者的中央静脉通道,主要是患有ALS的患者.
在这个患者群体中评估不同中央静脉接入装置的安全性和有效性.

主要方法:

对115名残或四肢患者 (109名ALS患者) 的回顾性研究.
分析了75个腿部插入的中央导管 (FICCs),29个中心插入的中央导管 (CICCs) 和11个外围插入的中央导管 (PICCs) 插入超过34个月.
在PICC中包括患有上肢运动性保护的患者,并通过训练有素的操作人员遵守插入捆绑.

主要成果:

没有观察到立即或早期并发症.
尽管只有61.7%的患者接受了抗血栓预防治疗,但没有出现症状性导管相关血栓形成 (CRT).
非传染性并发症不常见,仅影响115名患者中的4人.

结论:

或四肢不一定会增加与导管相关的血栓形成 (CRT) 的风险.
精心设计的插入捆对于最小化非传染性并发症至关重要.
通过表面大腿静脉的直接导管插入的骨插入中心导管 (FICC) 在残肢/四肢患者中提供优势,类似于一般人群.

关键词:

肌缩性侧面硬化症 (AMLS) 是一种疾病.标签:PICC 标签:PICC 标签:PICC 与导管相关的血栓形成.通过中央静脉导管导管.腿部导管腿部导管麻症 (Paraplegia) 是一种残疾症.四肢四肢症是一种疾病.

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