阴茎静脉接入为冠状动脉鼻腔导管安置提供了内静脉接入的实用替代方案
Haruwo Tashiro1, Ken Terata2, Ryosuke Kato2
1Division of Advanced Arrhythmia Management, Department of Cardiovascular Medicine Akita University Graduate School of Medicine Akita Japan.
Journal of arrhythmia
|August 14, 2024
概括
冠状动脉鼻腔导管的左静脉方法是右内静脉的可行的替代方案,成功率相似,没有严重的并发症,尽管最初的插入成功率较低.
科学领域:
- 心脏病学 心脏病学
- 血管接入 血管接入
- 干预性电生理学 干预性电生理学
背景情况:
- 针对冠状动脉鼻 (CS) 的跨导管手术通常利用右侧内静脉 (RIJV) 插入电极导管.
- 访问RIJV与风险相关,包括肺胸部和显著的血瘤形成.
- 为了提高安全性和可行性,正在研究替代静脉接入路径.
研究的目的:
- 为了比较左肘部表面静脉导管治疗的安全性和可行性,与CS接入的RIJV相比.
- 评估两个访问站点之间的关键程序指标和并发症率.
主要方法:
- 一项前性,非随机化研究,比较左肘静脉 (盲点穿刺) 和RIJV (超声导入) 进入CS导管切除.
- 收集的数据包括囊插入成功,CS管成功,手术和光镜时间以及并发症.
- 包括2021年9月至2023年2月间接受了导管切除的患者.
主要成果:
- 与左肘静脉组 (152名患者,84.9%) 相比,RIJV组 (58名患者) 的护套插入成功率 (100%) 显著更高.
- 肘部静脉组的并发症包括失败的盲孔 (20) 和导线诱导的静脉损伤 (3). 在RIJV组中发生了一次动脉穿刺.
- 在成功插入外套后,CS射管成功率 (97%对100%),手术时间和光镜时间在各组之间相似,没有严重的并发症.
结论:
- 左肘静脉方法为CS导管注射提供了一个实用和可行的替代方案.
- 虽然最初的外套插入成功率较低,但左肘静脉方法在随后的CS管中表现出可比的疗效和安全性.
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