在无心脏起器植入后,球血管闭塞和痕形成
Shmaila Saleem-Talib1, Crispijn P R Hoevenaars1, Vincent J van Driel1
1Department of Cardiology, Haga Teaching Hospital, 2545AA The Hague, The Netherlands.
Reviews in cardiovascular medicine
|January 1, 2025
概括
双 Perclose ProGlide 装置在大孔接入后有效地实现了内静脉的静脉静止,允许患者立即行走,并导致最小的痕.
科学领域:
- 血管接入和关闭
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 大孔静脉接入部位的静脉静止,特别是内静脉 (IJV),仍然是一个临床挑战.
- 现有的关闭装置主要研究的是腿部接入,留下IJV关闭和相关的部痕未经研究.
- 通过IJV的大孔接入越来越多地用于诸如微型透导管心脏起器系统 (TPS) 植入等程序.
研究的目的:
- 评估使用双个Perclose ProGlide (PP) 装置用于大孔接入后IJV静脉血静止的安全性和可行性.
- 用PP装置关闭IJV后评估部痕形成的发生率和外观.
- 为了确定这种封闭方法对患者行走和舒适性的影响.
主要方法:
- 一项前性研究包括136名连续接受Micra TPS植入并使用双PP装置关闭IJV的患者.
- 血液静止,需要干预的血管并发症,步行时间,出院和患者的不适都被评估.
- 在随访检查期间,评估了子痕的形成.
主要成果:
- 双PP装置在所有患者中成功实现了急性血静,没有设备故障.
- 一名患者需要轻微的手动压力来治疗血瘤;通过超声波观察到没有显著的血管并发症.
- 对所有患者来说,立即行走是可能的,并且在随访期间发现部痕最小.
结论:
- 珀克洛斯ProGlide装置证明了在大孔接入后在内静脉中实现静血的安全性和可行性.
- 这种关闭技术促进了患者的快速行走,并提高了舒适度,为手动压缩提供了替代方案.
- 该研究强调了PP装置在IJV关闭方面的潜力,将其应用范围扩大到传统的股骨接入点之外.
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