ASCEND技术 - 一种修改的直接吸入第一通技术,用于更快,更经济的机械血栓切除术
Martin Lewis1, Juveria Siddiqui1, Sara Sciacca1
1Department of Neuroradiology, King's College Hospital NHS Foundation Trust, London, UK.
Clinical neuroradiology
|November 19, 2024
概括
在大血管阻塞中风中,新的ASCEND技术用于吸血血栓切除,大大减少了手术时间和成本. 这种蒸汽式导管方法提供了巨大的好处,而不会影响安全性或有效性.
科学领域:
- 血管内治疗治疗 血管内治疗
- 神经干预程序的神经干预程序
- 脑血管疾病 脑血管疾病
背景情况:
- 直接吸入第一次通道技术 (ADAPT) 是用于前部循环大血管阻塞 (AC-LVO) 的标准.
- 对ADAPT的修改存在,但导管导航的挑战仍然存在.
- 吸血血栓切除术 (AT) 对于恢复急性缺血性中风的血液流动至关重要.
研究的目的:
- 介绍用蒸汽状导管吸入,不包括附加器件 (ASCEND) 技术.
- 假设ASCEND可以改善导管导航,从而在机械血栓切除术 (MT) 中节省时间和成本.
- 与传统的 ADAPT 相比,评估ASCEND技术的有效性和安全性.
主要方法:
- 单一机构,回顾性,干预前后研究.
- 在AC-LVO患者中,ASCEND技术与传统的ADAPT技术进行了比较,这些患者接受了第一通的AT.
- 分析了基线特征,程序时间,额外的设备,成本,再通道率和并发症.
主要成果:
- 上升 (n=39) 和传统的适应 (n=40) 组表现出类似的基线特征.
- 在ASCEND中,第一次通过时间 (8.9分 vs 14.7分) 和总程序时间 (20.2分 vs 35.4分) 显著减少.
- ASCEND导致了较少的额外设备 (0 vs 3) 和较低的每次手术成本 (£ 2083 vs £ 5830),并保持了安全性和性能指标.
结论:
- ASCEND技术是一种简单的蒸汽造型修改吸入导管,可节省大量的时间和成本.
- 这种技术可以在AC-LVO的机械血栓切除中实施,而不会影响性能或安全.
- 神经干预学家报告说,ASCEND对于减少时间和成本是安全和有益的.
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