挑战围绕皮肤臂动脉接入相关并发症的争议:系统性审查和元分析
Khuzaima Khan1, Eiman Amir1, Omobolaji Akano1
1Department of Radiology, Norfolk and Norwich University Hospital Foundation Trust, Norwich, UK.
Vascular and endovascular surgery
|August 30, 2024
概括
穿皮臂动脉接入 (pBAA) 是内血管手术的安全替代方案,严重并发症的发生率很低. 这一系统性审查支持pBAA作为临床医生可行的选择.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 内血管治疗越来越多地用于各种疾病.
- 选择动脉通道 (大腿,半径) 影响手术的成功.
- 皮革臂动脉接入 (pBAA) 由于感知到的风险,缺乏大规模证据,因此谨慎使用.
研究的目的:
- 系统地审查和报告pBAA的临床和放射性并发症.
- 将pBAA的安全概况与已确定的接入路径进行比较.
- 提供关于pBAA.的知情临床决策的证据.
主要方法:
- 31项研究的系统审查和元分析.
- 在EMBASE,EMCARE,CINAHL和Medline数据库中进行了搜索.
- 专注于与pBAA相关的临床和放射性并发症.
主要成果:
- 对pBAA.观察到的并发症率较低.
- 关键的并发症概率是:血瘤 (4.76%),出血 (1.43%),穿孔 (1.11%),伪动脉瘤 (1.06%).
- 报告的非目标血管穿刺,狭窄和中风的零发病率.
结论:
- 对于内血管程序,pBAA显示出相对安全的特征.
- 严重并发症的低发病率支持其临床实用性.
- pBAA为临床医生提供了一个有价值的替代接入点.
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