下静脉卡瓦过器的利用和使用结果
Krystina N Choinski1, Jason Storch1, Simeret Genet1
1Division of Vascular Surgery, Department of Surgery, The Icahn School of Medicine at Mount Sinai, New York, NY, USA.
概括
下腔静脉过器 (IVCF) 对接受手术的年轻患者有用,当抗凝药是禁忌时. 然而,老年患者和患有恶性瘤的人在IVCF安置时面临更高的死亡风险.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 下腔静脉过器 (IVCF) 是用于预防肺栓塞的设备.
- 他们的指示,并发症和患者的结果需要持续评估.
研究的目的:
- 分析接受IVCF安置的患者的指示,并发症和结果.
- 确定与IVCF利用和结果相关的患者特征和程序因素.
主要方法:
- 在2018年至2022年期间接受IVCF安置的347名患者的回顾性审查.
- 收集的数据包括患者人口统计数据,IVCF的指示,程序细节,并发症,过器去除率和死亡率.
- 进行了统计分析,以确定与结果相关的因素.
主要成果:
- IVCF最常用于抗凝血药物 (41%),胃肠道出血 (15%) 或抗凝血药物失效 (10%) 的患者,通常是在脊椎 (17%) 或腹部 (32%) 手术之前.
- 直接并发症发生在6%的患者中,长期问题如和DVT发生在12%.
- 所有原因的死亡率为21%,老年患者和患有恶性瘤的患者的死亡率更高. 脊椎手术患者的移除率更高.
结论:
- IVCF安置在接受具有抗凝固禁忌的选择性手术的年轻患者中显示出有用性,特别是脊椎手术.
- 老年患者和患有恶性瘤患者的死亡风险较高,因此IVCF安置可能没有益处.
- 仔细选择患者对于优化IVCF结果至关重要.
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