部分占用,更少的阿基:一个大动脉注册表分析的PREBOA-PRO
William Matthew Vassy1, Andrew Beckett2, Bradley Dennis3
1Northeast Georgia Medical Center, Gainesville, Georgia.
Shock (Augusta, Ga.)
|December 13, 2024
概括
与ER-REBOA导管的完全闭塞相比,pREBOA-PRO导管使大动脉部分闭塞时间更长,导致脏损伤不那么严重. 这表明preboa-pro是延长出血控制的更安全的选择.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 关键护理医学 关键护理医学
背景情况:
- 非压缩性干出血是可预防死亡的主要原因.
- 复苏性内血管气球阻塞大动脉 (REBOA) 用于控制出血.
- 使用ER-REBOA完全封闭可能会导致超过30分钟的远端缺血.
研究的目的:
- 评估preboa-pro导管对急性损伤 (aki) 和死亡率的影响.
- 为了比较较长的时间,pREBOA-PRO的部分闭塞时间与ER-REBOA的完全闭塞时间相比.
- 评估pREBOA-PRO在扩大大动脉封闭的安全性和有效性.
主要方法:
- 在创伤和急性护理外科注册中复苏的大动脉封闭的回顾性分析.
- 在区域1中,比较使用preboa-pro (n=110) 治疗部分闭塞和ER-REBOA (n=752) 治疗完全闭塞的患者.
- 对人口统计,临床表现,闭塞策略,并发症和死亡率的分析.
主要成果:
- 与ER-REBOA (33%,50分钟) 相比,pREBOA-PRO (87%,59分钟) 更频繁,更长时间使用部分大动脉封闭.
- 与ER-REBOA组相比,pREBOA-PRO组 (19%) 的急性损伤发生的频率较低 (33%).
- 人口统计,临床表现和死亡率在各组之间相似,ER-REBOA组的年龄更高.
结论:
- 在pREBOA-PRO导管促进更频繁和更长的部分大动脉封闭在1区.
- 这一策略与急性损伤的发病率较低有关.
- pREBOA-PRO代表了一种潜在的更安全的延伸桥梁,用于最终控制出血.
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