在有意识的镇静下静脉鼻支架
Erwah Kalsoum1, Luca Scarcia2, Mohamad Abdalkader3
1Department of Neuroradiology, Henri Mondor Hospital, Créteil, France.
Journal of neurointerventional surgery
|August 9, 2024
概括
在有意识的镇静下进行静脉鼻腔支架治疗形内高血压是安全有效的. 这种方法为全身麻醉提供了可行的替代方案,改善了患者的治疗结果并减少了并发症.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 麻醉学 麻醉学
背景情况:
- 当医疗治疗失败时,异形内高血压 (IIH) 通常需要静脉鼻支架 (VSS).
- 传统上,VSS是在全身麻醉下进行的.
研究的目的:
- 评估VSS在意识镇静下对IIH的安全性和可行性.
- 为了展示这种麻醉方法的单中心经验.
主要方法:
- 对26名IIH患者进行回顾性分析,这些患者接受了Remifentanil基镇静剂的VSS.
- 收集的数据包括麻醉剂量,程序细节和患者的结果.
主要成果:
- 所有26名患者在有意识的镇静下完成了VSS,而没有转换为全身麻醉.
- 技术成功率为100%; 83.3%的头痛回归,80%的乳头改善,100%的脉动性耳消失.
- 发生了一种非神经学的并发症;没有永久的发病率或死亡率.
结论:
- 意识镇静是一种安全且可行的麻醉技术,用于IIH患者的VSS.
- 这种方法为全身麻醉提供了可行的替代方案,改善了患者管理.
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