超声引导的修改动态针尖定位技术用于远端辐射动脉导管:一个随机对照试验
Yupeng Liang1, Peizhong Liu1, Chao Wei1
1The Second Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine Zhuhai, Zhuhai, Guangdong, China.
The journal of vascular access
|August 16, 2024
概括
修改后的动态针尖定位技术 (MDNTP) 显著改善了远端辐射动脉的接入成功,并降低了血液瘤的风险. 这种超声波指导的方法提高了对导管的程序安全性和效率.
科学领域:
- 血管接入程序 血管接入程序
- 干预心脏病学 干预心脏病学
- 医学中的超声指导.
背景情况:
- 距离辐射动脉的访问是具有挑战性的,因为小的尺寸,扭曲和.
- 标准的触摸指南带有程序失败和受伤的风险.
- 众所周知,超声指导可以改善放射性动脉导管治疗的结果.
研究的目的:
- 评估精细的动态针尖定位技术的有效性和安全性,用于远端辐射动脉接入.
- 为了比较修改的动态针尖定位技术 (MDNTP) 与传统的触摸指导.
主要方法:
- 这是一项随机对照试验,涉及112名患者.
- 患者被分配到MDNTP组 (n=56) 或触摸指导组 (n=56).
- 主要结局包括初始和整体刺穿成功率;次要结局是手术时间和并发症,如血瘤和放射性动脉封闭.
主要成果:
- MDNTP组的初始穿孔成功率 (71.43%对46.43%) 和整体成功率 (98.21%对87.50%) 显著提高.
- MDNTP的结果是尝试较少,罩插入时间较短 (17s vs 57s),罩插入成功率更高 (96.43% vs 82.14%).
- 使用MDNTP的血液瘤发病率较低 (5.36%vs19.64%),尽管穿孔时间较长 (60svs40s);24小时辐射动脉封闭率相似.
结论:
- 修改后的动态针尖定位技术提高了远端辐射动脉穿刺和导管注射的成功率.
- 这种技术有效地减少了穿刺部位血瘤的发生率.
- 与触摸指导相比,MDNTP提供了一种更安全,更有效的方法来访问远端辐射动脉.
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