大孔吸血血栓切除术用于治疗80岁的肺栓塞症
Reid Masterson1, Travis Pebror2, Andrew Gauger1
1Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 550 University Blvd, Room 0641, Indianapolis, IN, 46202, USA.
CVIR endovascular
|January 22, 2025
概括
大孔吸血血栓切除术 (LBAT) 是80岁及以上患者肺栓塞 (PE) 的安全有效治疗方法. 这种程序证明了高技术成功和在八十岁的PE患者中有利的安全概况.
科学领域:
- 心脏病学 心脏病学
- 干预性放射学 干预性放射学
- 肺部医学 肺部医学
背景情况:
- 肺栓塞 (PE) 存在重大风险,特别是在老年人群中.
- 八十多岁的严重PE的治疗选择有限,需要对最小侵入性技术进行评估.
研究的目的:
- 评估大孔吸血血栓切除术 (LBAT) 在80岁及以上患有PE的患者的结果.
- 评估LBAT在这个特定的人群中的安全性,有效性和血液动力学影响.
主要方法:
- 追溯分析48名年龄≥80岁的患者,他们在2019年9月至2024年8月期间接受了PE的LBAT.
- 评估技术成功,血液动力学变化 (肺动脉压力,RV/LV比率),住院/ICU长度,并发症和死亡率 (7日和30日).
主要成果:
- 高技术成功率为95.8% (46/48名患者).
- 肺动脉平均压力和RV与LV比率显著降低.
- 程序并发症的低率 (2/48) 和死亡率 (6.3%在30天).
结论:
- LBAT在技术上是可行的,并且安全用于治疗八十多岁患者的PE.
- 该程序为这个高风险群体提供了有利的初步安全性和死亡概况.
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