在下静脉卡瓦支架穿过脏静脉放置后的长期结果
Matthew L Hung1, Victoria Arendt2, Tarub Mabud3
1Division of Interventional Radiology, Department of Radiology, Stanford University Medical Center, Stanford, California.
Journal of vascular and interventional radiology : JVIR
|April 16, 2025
概括
通过静脉 (RVs) 放置下静脉腔 (IVC) 支架对功能没有显著影响. RV血栓形成是罕见的,仅发生在RV+组的2%的患者中.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 干预性放射学 干预性放射学
背景情况:
- 下腔静脉 (IVC) 支架对于管理静脉血栓塞栓性疾病至关重要.
- 通过静脉 (RVs) 放置IVC支架对功能和RV通透性的影响需要进一步调查.
研究的目的:
- 为了评估IVC支架在RVs中的放置对功能的影响.
- 为了评估在接受IVC支架放置在RVs的患者中RV血栓形成的发生率.
主要方法:
- 追溯队列研究比较了穿越RV的IVC支架患者 (RV+组,n=48) 和穿越RV的支架患者 (RV-组,n=96).
- 在术后的多个时间点,通过估计的膜过率 (eGFR) 评估功能.
- 监测了RV通透率,并记录了RV血栓形成的发生率.
主要成果:
- 在所有测量时间点 (1-7天,8-30天,31-180天和180天以后) 中,RV+和RV-组之间没有观察到EGFR变化的显著差异.
- 在RV+组中,经过平均4.3年的随访后,发生了一例RV血栓形成 (2%).
结论:
- 穿过RVs的IVC支架放置不会对功能产生不利影响.
- 在RV中安装IVC支架后,RV血栓形成的风险很低.
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