使用InThrill装置进行机械血栓切除术,以获得血栓化血液透析:一个单一的中心体验
Jessica Katsiroubas1, Maneesha Chitanvis1, Rachel Waldman1
1Department of Surgery, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
The journal of vascular access
|August 24, 2024
概括
InThrill血栓切除系统有效地治疗血液透析患者的动脉静脉接入血栓,在不使用血栓抑制剂的情况下实现了高的技术和临床成功率. 这种快速而安全的机械血栓切除术为AVF和AVG血栓形成提供了有前途的解决方案.
科学领域:
- 血管外科 血管外科
- 干预性病学 干预性病学
- 医疗器械技术 医疗器械技术
背景情况:
- 动脉静脉 (AVF) 和移植 (AVG) 对于血液透析的准入至关重要.
- AVF和AVG的血栓形成是一种常见的并发症,导致访问失败.
- 机械血栓切除术为恢复通道通透性提供了一个潜在的解决方案.
研究的目的:
- 评估InThrill血栓切除系统的安全性和有效性.
- 评估其在治疗血栓化AVF和AVG中的实用性.
- 分析与设备相关的程序结果和并发症.
主要方法:
- 使用InThrill系统进行血栓切除手术的机构数据库的回顾性审查.
- 包括18岁以上接受AV接入血栓切除术的患者.
- 收集程序内指标,技术/临床成功定义,并对通透性和不良事件进行为期3个月的随访.
主要成果:
- 在13名患者中,对2名AVF和18名AVG进行了20次血栓切除术.
- 实现了100%的技术成功率和95%的临床成功率.
- 一个月后,初级通透率为77%,辅助初级和二级通透率在1个月和3个月后为100%. 血流很少,没有经过手术的不良事件.
结论:
- 该InThrill血栓切除系统证明了快速,安全和有效的治疗AV接入血栓.
- 使用这种装置,可以进行无血栓溶解剂的机械血栓切除术.
- 该系统有望改善血液透析接入结果.
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