完全植入式静脉接入器件的功能不用冲洗的维护:临床病例的介绍
Martina Rapisarda1, Luisa Gallo1, Alessandro Terrasi1
1Department of Surgical Sciences and Advanced Technologies "G.F. Ingrassia," University of Catania, Cannizzaro Hospital, General Surgery, Catania, Italy.
EJVES vascular forum
|July 18, 2025
概括
长期完全植入式静脉接入装置 (TIVADs) 可以在没有例行冲洗的情况下保持功能. 这一发现表明潜在的成本节约和改善患者舒适性,需要进一步调查.
科学领域:
- 医疗器械 医疗器械
- 血管接入 血管接入
- 在瘤学瘤学.
背景情况:
- 完全植入式静脉接入装置 (TIVAD) 对于长期治疗至关重要.
- 常规冲洗是保持TIVAD通透性的标准做法.
- 讨论了冲洗对TIVAD寿命的必要性和影响.
研究的目的:
- 为了评估没有例行冲洗的TIVAD的通透性.
- 评估长期使用非冲洗TIVAD的患者的结果.
主要方法:
- 在1995年至2016年期间接受TIVAD植入的544名患者的回顾性分析.
- 收集的数据包括患者人口统计数据,疾病类型,静脉接入部位和设备特征.
- 随访的重点是TIVAD通透性和并发症,特别是在错过冲洗预约的患者中.
主要成果:
- 该研究包括544名患者,其中93.4%患有固体瘤.
- 在7名患有复发性癌症的患者的小组中,这些患者在几个月内没有恢复冲洗,TIVADs在没有肝素化的情况下保持专利.
- 在这些18-24个月的非冲洗,非化TIVAD中没有检测到任何闭塞迹象.
结论:
- 即使没有定期冲洗,TIVAD也可以保持通透性.
- 消除例行冲洗可能会带来经济效益,并提高患者的便利性.
- 建议进行进一步的大规模研究,以证实这些发现并制定新的指导方针.
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