通过皮肤内血管管理Angio-Seal相关的血管封闭
Dan Haberman1, Evan Czulada2, Lior Lupu1
1Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA.
概括
外周内血管干预有效地管理由Angio-Seal血管关闭装置引起的股骨动脉封闭. 这种方法主要是使用定向性肌肉切除术,在没有并发症的情况下实现了100%的成功,确保了出色的长期结果.
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:
- 血管闭塞装置 (VCD) 是股骨动脉接入血液静止的标准.
- 诸如出血和大腿动脉堵塞等并发症可能需要血管干预.
- 血管密封VCD的部署与封闭性并发症有关.
研究的目的:
- 详细介绍一个外围皮肤内血管干预 (PEI) 方法来管理大腿动脉封闭.
- 评估PEI在患有Angio-Seal VCD相关并发症的患者的疗效和安全性.
主要方法:
- 对40名患有血管封闭性并发症的患者的回顾性分析 (2013年7月至2023年9月).
- 所有患者都接受了PEI,主要技术是定向性心脏切除术.
- 分析的数据包括患者特征,程序细节和短期至长期随访.
主要成果:
- 在所有40名患者中,PEI的程序成功率为100%.
- 在88%的病例中使用了定向性心脏切除术,在13%的病例中使用了气球血管整形术,在18%的病例中使用了支架.
- 没有手术并发症或手术转换;在中位数244天的随访期间,无需重新干预.
结论:
- PEI,特别是指向性切除术和气球血管造形术,是Angio-Seal VCD相关的股骨动脉封闭的安全有效治疗方法.
- 这种方法恢复了流动,并带来了出色的长期结果.
- 在管理这些特定的VCD并发症方面,PEI为手术提供了一个成功的替代方案.
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