紧急插头辅助逆向透静止除术,用于从破裂的胃的激活出血
Eunbyeol Ko1, Jeongyeon Kim1, Dong Il Gwon1
1Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Journal of vascular and interventional radiology : JVIR
|February 3, 2025
概括
紧急插头辅助逆向透静脉消灭 (PARTO) 有效地阻止了从破裂的胃静脉 (GVs) 中的活跃出血. 虽然安全和快速,但患者的生存受到潜在疾病和冲击并发症的限制.
科学领域:
- 干预性放射学 干预性放射学
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
背景情况:
- 破裂的胃静脉 (GVs) 构成危及生命的出血的重大风险.
- 对活跃的GV出血进行内镜治疗可能具有挑战性或无效.
- 紧急干预对于管理急性GV出血至关重要.
研究的目的:
- 评估紧急插头辅助逆向透静脉消灭 (PARTO) 的安全性和有效性,用于破裂GVs的活跃出血.
- 评估血液静止成功和紧急PARTO的程序结果.
- 为了分析患者的存活率和死亡原因,在紧急情况下PARTO.
主要方法:
- 对21名患有从破裂的GVs中出血的患者进行了回顾性分析,他们接受了紧急PARTO.
- 患者包括有危及生命的出血或失败/无法进行内镜注射的蓝烯酸盐患者.
- 记录了技术上的成功,血液静止,不良事件和生存数据.
主要成果:
- 紧急PARTO在所有21名患者中取得了技术上的成功,没有与程序相关的不良事件.
- 在95.2%的患者中,立即实现了血液静止.
- 在CT扫描中观察到GVs和端口系统性分流的完全血栓形成.
- 平均存活时间为47天,死亡率主要是由于伴随性疾病和休克并发症.
结论:
- 紧急PARTO是一种快速,安全和有效的治疗,用于从破裂GVs的活跃出血.
- 虽然对静血有效,但由于严重的并发症,患者的生存率仍然适度.
- 当内镜治疗不可行或失败时,PARTO提供了一个可行的替代方案.
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