用于治疗严重的外周动脉疾病的血管内冲击波石:单中心体验
Shanga Salihi1, Omar Suleiman1, Bilal Afzal Tarar2
1Vascular Surgery, London Northwest University Healthcare NHS Trust, London, GBR.
Cureus
|March 3, 2025
概括
血管内冲击波石 (IVL) 显示出治疗严重的外周动脉疾病 (PAD) 的前景,达到79%的高肢体挽救率,并发症很少. 为了获得长期的结果,需要进一步的研究.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内治疗疗法 血管内疗法
背景情况:
- 慢性四肢威胁性缺血症 (CLTI) 是外周动脉疾病 (PAD) 的最严重形式.
- 血管内冲击波石 (IVL) 是一种新兴的治疗方法,用于化下肢PAD.
- 有效的再血管化策略对于重症PAD患者的四肢挽救至关重要.
研究的目的:
- 评估IVL在严重PAD患者中的有效性和安全性.
- 为了评估四肢挽救率和IVL治疗后的患者存活率.
- 为了确定与IVL手术相关的潜在并发症.
主要方法:
- 在2019年11月至2024年6月期间,对38名IVL治疗的患者进行了回顾性研究.
- 主要结局:没有截肢的生存率. 二次结局:并发症 (血栓栓塞,穿孔,复缩).
- 三个月的临床和双重扫描后续检查;血管造影结果的评估.
主要成果:
- 在38名患有严重PAD的患者中观察到79%的无截肢存活率 (Rutherford阶段3-6).
- 低并发症率:10.53%的远端栓塞,没有需要治疗的穿孔或剖析.
- 3个月后,58%的患者获得了阳性血管检查结果和临床改善,11名患者需要重新干预.
结论:
- 在治疗严重的PAD方面,IVL显示出高的肢体挽救率和低的并发症概况.
- IVL对于患有CLTI和短距离听障碍的患者来说是一个可行的选择.
- 进一步的研究是有必要的,以探索长期的IVL有效性及其与传统的复血管化技术并肩发挥的作用.
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