基于的技术与手动压缩用于在电生理学程序后的股骨静脉血液静止
Mark T Mills1,2, Peter Calvert1,2, Richard Snowdon1
1Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Liverpool, UK.
Journal of cardiovascular electrophysiology
|September 5, 2024
概括
经过电生理学程序后,修改的八位 (Fo8MOD) 技术用于股骨静脉血液静止,与手动压缩 (MC) 和传统的八位 (Fo8HT) 相比,显著减少并发症,特别是在接受抗凝药的患者中.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 电子生理学 电子生理学
背景情况:
- 在电生理学 (EP) 程序后,大腿静脉血静至关重要.
- 目前的方法包括手动压缩 (MC),手动绑定 (Fo8HT) 的八人形和修改的八人形 (Fo8MOD) 技术.
- 对于Fo8MOD技术的有效性,特别是减少出血并发症,需要进一步研究.
研究的目的:
- 为了比较Fo8MOD血液静止技术与MC的短期出血结果.
- 为了评估Fo8MOD与Fo8HT技术相比的疗效.
- 识别与访问站点并发症相关的风险因素.
主要方法:
- 在2023年3月至12月期间,对1089名接受EP手术的患者进行了回顾性研究.
- 患者被分为三个血液静止组:MC,Fo8HT和Fo8MOD.
- 访问站点并发症被分为主要或次要,并使用多变量后勤回归分析.
主要成果:
- 在接受周围手术抗凝剂的患者中,Fo8MOD技术与明显较少的重大 (0.8%对MC的2.2%,对Fo8HT的6.0%;p=0.01) 和轻微 (7.4%对MC的16.5%,对Fo8HT的12.0%;p=0.002) 并发症有关.
- 在不接受抗凝药的患者中,在方法之间没有观察到并发症的显著差异.
- 术内肝素化和更大的最大囊大小与增加的并发症风险有关.
结论:
- 修改的八角 suture (Fo8MOD) 技术优于手动压缩和传统的八角 suture 股骨血液静止术后的程序,特别是在抗凝血患者.
- Fo8MOD显著减少了接入部位的并发症,包括主要和轻微的出血事件.
- 这些发现支持采用Fo8MOD来提高EP程序中的患者安全.
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