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在上静脉采样中通过上肢方法进行最佳静脉接入选择:对325例病例的回顾性分析
Furong Zhang1, Ni Zhu1, Shuhua Zhao1
1Department of Cardiovascular, The Second Affiliated Hospital of Chongqing Medical University, No. 74, Linjiang Road, Yuzhong District, Chongqing, 400010, China.
Scientific reports
|January 3, 2025
概括
对于上腺静脉采样 (AVS),中立肘静脉 (MCV) 和基础静脉 (BV) 是安全的上肢接入选项. 大脑静脉 (CV) 进入与较高的和血栓形成风险有关.
科学领域:
- 内分泌学 在内分泌学.
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 上腺静脉采样 (AVS) 对于诊断原发性阿尔多斯特隆症 (PA) 是至关重要的.
- 选择一个适当的上肢静脉方法对AVS影响患者的结果.
- 之前的研究还没有全面比较不同静脉接入部位的并发症.
研究的目的:
- 在PA患者中比较不同上肢静脉方法对AVS的安全性和有效性.
- 为了评估与中等足静脉 (MCV),基底静脉 (BV) 和头骨静脉 (CV) 接触相关的并发症率和疼痛评分.
主要方法:
- 对325名通过上肢静脉接入接受AVS的PA患者的回顾性分析.
- 在MCV,BV和CV之间比较静脉,血栓和视觉模拟尺度 (VAS) 疼痛得分.
- 统计分析以确定结果的显著差异.
主要成果:
- 在MCV和BV接入之间,静脉或VAS得分没有显著差异.
- 与右MCV相比,右CV接入显示了更高的静脉发 (20%vs4.2%) 和血栓形成 (5.7%vs0.0%) 的发生率.
- 与MCV接入相比,CV接入与更严重的疼痛有关.
结论:
- 建议双边MCV和BV作为AVS的可行的静脉接入选择.
- 在不可访问的ipsilateral MCV或BV的情况下,应优先选择对方MCV或BV而不是CV.
- 为AVS优化静脉选择可以尽量减少患者的不适和手术并发症.
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