超声导向静脉穿刺在电生理学手术中减少了腰部并发症
Yannick Teumer1, Daniel Eckart1, Lyuboslav Katov1
1Ulm University Heart Center, Ulm University, Albert-Einstein-Allee 23, 89081 Ulm, Germany.
Biomedicines
|October 26, 2024
概括
与传统方法相比,在电生理学程序中,用于静脉接入的超声指导显著减少了血管并发症. 这种技术通过尽量减少出血和其他与访问相关的问题来提高患者的安全性.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 电生理学程序往往需要多次的股骨静脉穿孔.
- 传统的间接大腿静脉位置带有出血和伪动脉瘤等风险.
- 存在有限的证据来比较超声导向与传统静脉穿刺安全性.
研究的目的:
- 评估超声波导向静脉穿刺对血管接入并发症的影响.
- 确定与这些并发症相关的风险因素.
主要方法:
- 单一中心试验,从2021年11月到2023年10月,招募1370名患者.
- 使用常规或超声指导的技术进行的小腿静脉穿刺.
- 主要终点:主要的血管接入并发症 (BARC ≥2出血,伪动脉瘤,,输血) 和轻微的 (BARC 1).
主要成果:
- 超声组的主要终点为12.1%,传统组为19.2% (p < 0.001).
- 增加口直径和多个静脉通道被确定为危险因素.
- 超声指导显示,与接入相关的并发症显著减少.
结论:
- 在电生理学中,为大腿静脉穿刺进行超声指导可以减少进入并发症.
- 支持采用超声波指导来提高患者安全.
- 建议仔细注意包尺寸和通道数量.
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