在EUS引导的胆囊排水中进行抗血栓治疗的管理和结果
Michael Makar1, Michael Yodice1, Matt Still1
1Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA.
Gastrointestinal endoscopy
|August 11, 2024
概括
在接受抗血栓治疗 (ATT) 的患者中,EUS引导的胆囊排水是安全的. 在手术中保持ATT并没有增加出血,血栓事件或死亡风险.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 患者安全 患者安全
背景情况:
- EUS导向胆囊排水 (EUS-GBD) 是高风险患者胆囊疾病的替代治疗方法.
- 接受EUS-GBD治疗的患者通常具有需要抗血栓治疗 (ATT) 的并发症.
研究的目的:
- 评估在ATT患者中EUS-GBD的安全性和结果.
- 为了比较ATT治疗患者和非ATT患者的出血和血栓事件.
主要方法:
- 177名接受EUS-GBD (2018-2023) 的患者的回顾性研究.
- 在ATT (用于手术) 和非ATT的患者之间比较结果.
- 主要结局:在48小时30天内出血. 二次结局:血栓事件,停留时间,30天死亡率.
主要成果:
- 在177名患者中,有118名患者接受了ATT.
- 两组之间48小时 (0.9%对0%) 或30天 (3.5%对0%) 内出血率没有显著差异.
- 血栓事件,停留时间或30天死亡率在两组之间没有显著差异.
结论:
- 在需要ATT的患者中,可以安全地进行EUS-GBD.
- 适当地持有EUS-GBD的ATT不会增加不良事件的风险.
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