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在内血管手术中,关与手臂接入相比,关接入更容易
Mustafa A Altaha1,2, Shawn Bailey1,2, Sebastian Mafeld1,2
1Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, Toronto, ON, Canada.
Vascular
|August 30, 2024
概括
对于内血管手术的跨关和跨关动脉接入,主要并发症的发生率相似. 这两种方法对于大干预都是安全有效的.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内干预 血管内干预
背景情况:
- 有限的数据存在于接入点并发症率的跨关与跨关的方法与大尺寸 (≥6Fr).
- 皮肤内血管干预通常需要大孔通道,需要评估不同的动脉通道部位.
研究的目的:
- 通过皮肤内血管干预进行穿式内血管干预,通过使用6Fr至10Fr的外大小,比较穿式和跨臂式方法之间的访问部位并发症率.
- 评估这两种上肢接入方法的安全性和有效性.
主要方法:
- 追溯审查67个内血管干预使用大小6Fr-10Fr.
- 程序包括在超声波指导下进行跨手臂 (41例) 和跨手臂 (26例) 的方法.
- 排除了血液透析接入和外科切割;主要结局是30天内主要接入部位并发症 (SIR等级II/III).
主要成果:
- 两种方法在所有情况下都取得了成功的动脉接入.
- 主要接入部位并发症发生在17%的跨手臂病例和15%的跨手臂病例中.
- 对于大干预的跨关和跨关组之间没有观察到统计学上显著的并发症率差异.
结论:
- 跨关接入是一种安全有效的替代方法,用于需要大 (≥7Fr) 的皮肤内血管程序的跨关接入.
- 这两种方法都显示出与访问站点并发症相似的安全概况.
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