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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
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超声波指导是否会减少神经干预手术中的大腿部接入部位并发症? 一个回顾性队列研究.

Tze Phei Kee1, Emily M Chung2, Saba Ghazimoghadam2

  • 1The Division of Neuroradiology, Joint Department of Medical Imaging and University Medical Imaging Toronto, Toronto Western Hospital, University Health Network, 399 Bathurst Street, Toronto, Ontario M5T 2S8, Canada; Department of Neuroradiology, National Neuroscience Institute, Singapore.

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科学领域:

  • 神经内血管程序 神经内血管程序
  • 血管接入 血管接入
  • 医学成像医学成像

背景情况:

  • 超声波越来越多地用于神经内血管程序中的大腿动脉接入.
  • 超声波指导对这种访问方法的安全结果的影响尚未得到充分证实.

研究的目的:

  • 评估超声波引导的股骨动脉穿刺对接入部位并发症 (ASC) 的影响.
  • 在神经内血管程序中确定ASC的独立预测因子.

主要方法:

  • 使用大腿动脉接入的神经血管病例的回顾性分析 (2016年1月 - 2022年12月).
  • 两个组的比较:超声波前指导 (2017年1月 - 2017年12月) 和超声波指导 (2019年7月 - 2022年12月).
  • 进行了单变量和多变量逻辑回归分析.

主要成果:

  • 总共分析了3181种手术 (1376种非超声波,1805种超声波).
  • 整体上,大腿动脉接入并发症率为2%.
  • 超声波和非超声波组之间的并发症率没有统计学上显著的差异 (p=0.821).
  • ASC的独立预测因素包括干预程序 (例如,内血管疗法 - EVT),更大的囊大小 (>=7Fr) 和双抗血小板疗法 (DAPT).

结论:

  • 超声指导在神经内血管程序中不会显著影响大腿动脉接入的安全性.
  • 超声波在高风险病例中是有益的,可能会尽量减少并发症.
  • 干预手术,更大的皮膜大小和DAPT是股骨ASC的独立预测因素.