血栓负担,阴道血栓,和检索的Denali下静脉Cava过器下静脉
Vansh S Jain1, Christine Johnstad1, Sofia Ferrer1
1University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Journal of vascular and interventional radiology : JVIR
|October 2, 2024
概括
德纳利下静脉膜过器显示了99.3%的高检索成功率,没有报告的设备骨折或迁移. 检索后成像显示,在少数患者中,血栓最小.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗器械评估 医疗器械评估
背景情况:
- 下腔静脉 (IVC) 过器对于预防高危患者的肺栓塞至关重要.
- 评估特定的IVC过器模型的长期结果和检索成功对于临床实践至关重要.
- 德纳利IVC过器是常用的设备,需要对其性能进行彻底评估.
研究的目的:
- 评估Denali下静脉膜过器的临床结果和检索疗效.
- 为了识别与Denali过器相关的任何并发症,包括血栓形成和设备完整性.
- 评估过器检索程序的安全性和成功率.
主要方法:
- 在2015年至2022年期间,对508名Denali IVC过器放置在500名患者中的回顾性分析.
- 详细审查过器检索程序,成功率和并发症.
- 对成像数据的评估,包括静脉图和对比度增强成像,以评估血栓和马匹异常.
主要成果:
- 总体检索成功率为99.3%,实现了275次初次成功检索和7次成功的第二次尝试.
- 没有报告过器骨折,迁移或临床显著的血管外支柱透的情况.
- 最初的检索静脉图显示,在6.3%的病例中,过器中存在血栓,在4.2%的病例中出现塞. 在一个子组的检索后成像显示过器内的血栓 (8.9%) 或马匹血栓/闭塞/缩小症 (8.9%).
结论:
- 德纳利下静脉膜过器具有很高的检索成功率和良好的安全性.
- 过器断裂,迁移和显著的血栓形成等并发症似乎不常见.
- 德纳利过器是IVC过的安全有效选择,具有成功的检索结果.
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