高射线动脉穿刺降低女性CRPS风险:一个回顾案例系列
Takehiro Hashikata1,2, Masahiko Shibuya1, Yoshiaki Shintani1,3
1Department of Radiology, Musculoskeletal Intervention Center, Okuno Clinic, Tokyo 106-0032, Japan.
Journal of clinical medicine
|September 13, 2025
概括
高射线动脉穿刺 (HRAP) 显著降低了经过跨动脉微栓塞的女性复杂区域疼痛综合征 (CRPS) 的风险. 这种修改避免了表面的神经,防止了虚弱的疼痛和并发症.
科学领域:
- 干预性放射学 干预性放射学
- 疼痛医学 医学 疼痛医学
- 血管外科 血管外科
背景情况:
- 射线动脉接入 (RAA) 是一种常见的血管手术.
- 复杂区域性疼痛综合征 (CRPS) 是RAA的一个罕见但严重的并发症,特别是在女性中.
- CRPS涉及持续的疼痛和自主功能障碍,通常与神经刺激有关.
研究的目的:
- 调查修改的高射线动脉穿刺 (HRAP) 技术是否可以降低CRPS的发生率.
- 为了评估HRAP的安全性和有效性,在经过冷肩的跨动脉微栓塞 (TAME) 患者中.
主要方法:
- 对97名患者 (47名女性,50名男性) 的回顾性审查,这些患者接受了TAME的常规RAA.
- 在101名女性中,传统的RAA和随后的HRAP之间的CRPS和血管并发症率的比较.
- 所有的刺穿都是在超声波指导下进行的.
主要成果:
- 五名女性患上了CRPS,一名女性经历了常规RAA的辐射动脉封闭.
- 受影响女性的CRPS症状包括持续平均47天的严重疼痛,功能受损.
- 在男性和101名接受HRAP治疗的女性中,没有观察到CRPS或血管并发症.
结论:
- 高射线动脉穿刺 (HRAP) 通过准更深层的动脉段并避免表面的神经,有效地降低了CRPS的风险.
- 这种简单的超声波导向修改不需要额外的培训,并显示出更广泛应用的希望.
- 在各种干预程序中,HRAP可以将神经病变并发症降到最低.
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