在神经干预手术过程中通过上肢的透静接入:来自最大的单中心体验的见解
Mikaeel A Habib1, Luis O Tierradentro-Garcia2, Robert Romano2
1Department of Neurosurgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 3 Silverstein, Philadelphia, PA 19104, United States.
概括
上肢透静接入 (UETV) 是神经干预性静脉治疗中传统的股骨接入的安全有效替代方案. 这种方法在大型病例系列中显示出高的成功率和最小的并发症.
科学领域:
- 干预性神经放射学 干预性神经放射学
- 血管接入技术 血管接入技术
- 脑血管干预 脑血管干预
背景情况:
- 穿越骨的方法是传统的静脉学.
- 上肢透静接入 (UETV) 提供了潜在的好处,如减少出血和更快的恢复.
- 这项研究评估了神经干预性静脉治疗的UETV.
研究的目的:
- 评估神经干预手术中只有上肢的透静接入的可行性和安全性.
- 报告UETV在管理复杂的脑血管疾病方面的单一中心经验.
主要方法:
- 在2020-2024年期间进行了158次诊断静脉图和静脉干预.
- 单个操作员,单个中心,主要用于上肢静脉接入.
- 收集关于人口统计,程序,发现和结果的数据.
主要成果:
- 在98.1% (155/158) 的病例中成功进行上肢导管.
- 149个 (94.3%) 程序成功完成.
- 轻微并发症发生在5.1% (8/158),没有重大并发症.
结论:
- 在神经干预手术中,仅通过上肢的静脉接入是可行的,也是安全的.
- 在前腔中的头和骨静脉是推访问的地点.
- 这是对神经干预的上肢首次穿血方法的最大案例系列.
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