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根据血管形态:根据血管形态选择经接入或上肢接入脏透:长期结果

Yujie Zuo¹, Hui Dong¹, Hongwu Li¹

¹Department of Cardiology, National Center for Cardiovascular Diseases and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Journal of clinical hypertension (Greenwich, Conn.)

|November 18, 2024

概括

外接入 (TFA) 和上肢接入 (UEA) 在耐性高血压中显示出类似的长期疗效和安全性,用于治疗抗性高血压的脏缩 (RDN). 对于TFA,UEA为具有挑战性血管形态的患者提供了一个可行的替代方案.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
血管医学血管医学

背景情况:

抗性高血压仍然是一个重大挑战,需要先进的治疗方式.
脏缩 (RDN) 是一种新兴的治疗方法,用于治疗耐性高血压.
进行RDN手术的血管接入,包括接入 (TFA) 和上肢接入 (UEA),需要仔细考虑患者的解剖学.

研究的目的:

为了比较长期的效果和安全性转门接入 (TFA) 与上肢接入 (UEA) 对于脏皮 (RDN).
评估血管形态对RDN接入的选择和结果的影响.
通过TFA和UEA通过RDN评估降低血压,使用抗高血压药物和功能.

主要方法:

通过TFA或UEA (手臂,辐射,关动脉) 进行RDN的85名耐药高血压患者的回顾性招募.
六个月,一年和三年后的后续评估,最后一次访问是在2023年6月.
程序参数 (光镜时间,程序时间,对比度量) 和临床结果 (血压,功能,不良事件) 的比较.

主要成果:

在TFA组中,光镜检查时间显著降低 (p=0.038).
术程时间,对比度量和与术程相关并发症的发生率在TFA和UEA组之间是相似的.
两组之间在长期降低办公室和24小时缩血压,服用抗高血压药物的数量或功能方面没有发现显著差异.
在TFA (5.2%) 和UEA (3.7%) 组之间,不良事件发生率相似.

结论:

两种TFA和UEA都是安全有效的长期获取方法,用于耐高血压患者的脏缩.
EA为RDN提供了可行的替代品,特别是在对TFA不利的血管解剖学患者中.
长期随访证实了持续的血压降低和稳定的功能,无论使用何种通道.

关键词:

脏变质脏变质是指脏变质.抗性高血压是一种抗性高血压.通过骨接入.上肢接入方式上肢接入方式

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