在内血管时代的皮肤外接入:一个可行的替代方案
Camil-Cassien Bamdé1, Comlan Blitti2, Grégoire Bar2
1Cardiovascular and Thoracic Surgery Department, Dijon University Hospital, Dijon, France; Laboratory PEC 2 EA 7460, University of Burgundy and Franche-Comté, Dijon, France.
Annals of vascular surgery
|October 17, 2024
概括
穿皮关动脉接入为内血管手术提供了100%有效的替代方案,当常见的股骨接入不适合时. 虽然安全,但更高的体重指数与增加的并发症风险有关.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 内血管程序 内血管程序
背景情况:
- 常见的股骨动脉接入是内血管手术的标准.
- 在肥胖患者,双边下肢疾病或具有挑战性的解剖学方面,对于大腿部接入存在限制.
- 关动脉接入为复杂的内血管干预提供了一个替代方案.
研究的目的:
- 评估穿皮关动脉接入的可行性,有效性和安全性.
- 为了确定与关动脉接入相关的并发症和风险因素.
主要方法:
- 2020年1月至2023年12月连续患者的单中心观察研究.
- 收集了关动脉接入的人口统计和程序数据.
- 评估了30天后技术成功和安全的主要终点.
主要成果:
- 八十五名患者接受了外围动脉疾病,大动脉动脉瘤和大动脉剖析的门接入.
- 在30天内实现了100%的技术成功,安全率为85.6%.
- 严重并发症发生在14.2%的患者中,体重指数升高的患者的发病率更高.
结论:
- 关动脉接入是内血管手术的可行替代方案,当 iliofemoral 接入是不可行的.
- 进一步的随机试验是必要的,以确认发现和优化上臂访问技术.
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