使用气球导导管导管的无盖远端透射接入的可行性和辐射动脉封闭率
Koki Onodera1, Masataka Yoshimura2, Kuya Azekami2
1Department of Endovascular Neurosurgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka City, Saitama Prefecture, 350-1298, Japan. onoderakoki@gmail.com.
Neurosurgical review
|October 14, 2024
概括
使用8Fr气球导导导管 (BGCs) 的无罩远端透射接入 (dTRA) 是可行的. 然而,放射性动脉封闭 (RAO) 的风险是显著的,特别是较小的动脉直径 (<2.4毫米).
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:
- 通过解剖吸烟箱的远距离透射接入 (dTRA) 在内血管治疗中减少了手术后的负担.
- 在dTRA中,气球导导管 (BGC) 的实用性受到辐射动脉通常小径的限制.
研究的目的:
- 评估在无盖dTRA中使用的8Fr BGCs的可行性和辐射动脉封闭率.
- 为了确定RAO的预测因子,在接受大孔BGCs的无盖dTRA的患者中.
主要方法:
- 用8Fr Optimo BGC进行无盖dTRA的患者的回顾性分析 (2023年7月 - 2024年5月).
- 在手术后24小时通过超声波评估RAO.
- 放射性动脉通透性和闭塞组之间的人口和程序特征的比较.
主要成果:
- 在接受dTRA的50名患者中,43人完成了手术.
- 辐射动脉封闭 (RAO) 在28% (12/43) 的患者中发生.
- 辐射动脉直径<2.4毫米的中位数是RAO的显著预测因素 (P<0.001).
- 在两名患者中发生轻微的脑缺血;没有注意到严重事件.
结论:
- 使用8Fr Optimo BGC的无盖dTRA在技术上是可行的.
- RAO的风险相当大,特别是在辐射动脉小于2.4毫米的患者中.
- 2.4毫米的辐射动脉直径切断线可以帮助在dTRA中选择患者接受大孔BGC.
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