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单个近距离方法的安全性和有效性与大孔外

Shintaro Takago¹, Satoru Nishida¹, Kazunori Koyama¹

¹Department of Cardiovascular Surgery, Fukui Prefectural Hospital, Fukui City, Fukui Prefecture, Japan.

Annals of vascular surgery

|August 15, 2025

概括

单一的Perclose方法是通过皮肤内血管大动脉修复 (pEVAR) 进行大孔外套的安全有效的关闭技术. 这种方法表现出高的技术成功率和没有血管并发症,使其成为pEVAR手术的可行选择.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学
医疗器械技术医疗器械技术

背景情况:

皮肤内血管大动脉修复 (pEVAR) 是治疗大动脉动脉瘤的一种微创手术.
对于PEVAR,通常需要大孔,这对血管接入部位的关闭构成了挑战.
佩克洛斯 (Perclose) 装置是一种常用的方法,用于在接入部位实现血液静止.

研究的目的:

评估使用单个Perclose装置在PEVAR程序中关闭血管接入点的安全性和有效性.
为了评估使用大孔罩 (≥20 Fr) 与单个Perkloses设备用于pEVAR的可行性.
为了比较单个Perclose关闭与pEVAR中双重Perclose关闭的结果.

主要方法:

在2023年9月至2025年4月期间,78名接受PEVAR治疗的患者进行了回顾性队列研究.
包括患有腹部和胸部大动脉动脉瘤的患者.
使用门学术研究联盟3标准,评估接入点特征 (股骨动脉直径,化,形) 和关闭结果 (技术成功,血管并发症).

主要成果:

总共分析了132个访问站点,其中72个使用单个Perclose方法关闭,60个使用双重Perclose方法关闭.
大孔盖 (≥20 Fr) 在16.7%的单个Perclose封闭中使用.
单个Perclose方法的技术成功率为98.6%,没有报告的血管并发症,而双重Perclose方法的成功率为95.0%,并有2种并发症.

结论:

单一的Perclose方法是pEVAR中血管接入点关闭的安全和可行的方法,即使使用大孔罩 (≥20 Fr).
这种技术的安全性和有效性与双重Perclose方法相提并论.
这些发现支持扩大单个Perclose关闭的使用,用于复杂的pEVAR案例,需要大直径的访问设备.

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