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通过穿皮进入关动脉进行内血管干预的可行性和安全性

Caleb D Alterman¹, Anton D Perera¹, Prateek K Gupta¹

¹Vascular and Vein Institute of the South, Germantown, TN.

Annals of vascular surgery

|November 24, 2024

概括

穿皮关动脉接入是内血管治疗的安全有效方法,特别是在复杂的病例中. 这种方法比传统方法具有优势,外围动脉疾病干预的并发症率较低.

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:

周围动脉疾病 (PAD) 的治疗依赖于安全的动脉通道.
上肢接入,特别是关动脉接入,可以克服解剖学和后勤方面的挑战.
这项研究以后回顾了用于下肢PAD干预措施的皮肤穿过轴突接入.

研究的目的:

评估穿皮关动脉接入的可行性和安全性.
评估技术成功,并确定术后并发症.
通过关接入分析内血管治疗的临床结果.

主要方法:

对于接受关动脉皮肤通道接入的患者的医疗记录的回顾性审查 (2021年12月 - 2024年8月).
对人口统计数据,程序细节和并发症 (伪动脉瘤,血瘤,神经损伤,闭合装置成功) 的分析.
技术成功和术后并发症的评估;通过随访记录分析临床结果.

主要成果:

在64名患有常见血管并发症的患者中进行了79次关动脉接入.
轴突接入方便了各种内血管手术,包括腹腔,大腿骨和骨干预.
没有重大并发症,死亡或重新手术;14%的患者出现轻微并发症 (伤,).

结论:

穿皮关动脉接入是复杂的内血管干预的有前途的技术.
它提供了诸如避免不利的股骨解剖学和改善工作长度等优势.
这种方法是增强内血管干预能力的安全可靠补充.

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