库克下静脉卡瓦过器 (CIVC) 研究的两年结果
Richard J Van Allan1, H Bob Smouse2, Richard G McWilliams3
1Section of Interventional Radiology, Department of Imaging, Cedars-Sinai Medical Center, Los Angeles, California.
Journal of vascular and interventional radiology : JVIR
|December 30, 2024
概括
在两年内,Celect和Günther Tulip Vena Cava过器在预防肺栓塞 (PE) 中表现出安全性和有效性. 这项研究支持在需要下腔静脉 (IVC) 过器放置的患者中使用它们.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心脏病学 心脏病学
背景情况:
- 肺栓塞 (PE) 仍然是致病率和死亡率的重要原因.
- 下腔静脉 (IVC) 过器用于预防高风险患者的PE.
- 持续评估IVC过器的安全性和有效性至关重要.
研究的目的:
- 报告Celect和Günther Tulip IVC过器的两年结果.
- 在前性多中心研究中评估这些过器的安全性和有效性.
- 为了评估过器放置的成功,PE预防和不良事件.
主要方法:
- 一项前性多中心单臂研究 (CIVC) 招募了473名患者.
- 患者接受了Celect或Günther Tulip IVC过器,用于预防PE.
- 随访延长至2年,评估技术成功,症状性PE和重大不良事件.
主要成果:
- 技术安置的成功率为97.8%.
- 在事后分析中,初级安全率为86.7% (P = .001).
- 成功的过器检索发生在94.9%的病例中,与设备相关的并发症最小.
结论:
- 塞莱克特和金瑟郁金香IVC过器对于预防PE是安全有效的.
- 该研究支持在适当的患者群体中长期使用这些设备.
- 进一步的研究可能会专注于优化患者选择和长期结果.
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