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在中等和高风险肺栓塞的导管治疗中使用模式:全国性的分析
Chukwuemeka Umeh1, Gagan Kaur1, Iman Richie2
1Department of Internal Medicine, Hemet Global Medical Center, Hemet, CA, USA.
概括
机械血栓切除术 (MT) 现在是肺栓塞 (PE) 的主要导管治疗 (CBT),取代了导管导向血栓溶解 (CT). 它的使用从2017年到2021年大幅增加,特别是在城市医院.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 肺部医学 肺部医学
背景情况:
- 导管治疗 (CBT),包括导管导向血栓溶解 (CT) 和机械血栓切除术 (MT),已成为中等和高风险肺栓塞 (PE) 的治疗方法.
- 虽然CT和MT的安全性和有效性是已知的,但使用模式需要进一步调查.
研究的目的:
- 分析CT和MT在肺栓塞 (PE) 治疗中的使用趋势.
- 确定与CT和MT之间的选择相关的临床和人口因素.
主要方法:
- 从2017-2021年使用国家住院样本 (NIS) 数据库进行回顾性队列分析.
- 包括诊断为肺栓塞的成年患者.
- 影响CT与MT选择的人口和临床变量的评估.
主要成果:
- 在PE的CBT中,机械血栓切除术 (MT) 的比例从2017年的14.1%增加到2021年的68.7%.
- 起初,MT被青为老年,病情更严重的患者和并发症;然而,到2021年,这种关联减少了.
- 与农村环境相比,在城市的教学医院和大型设施中,MT的利用率更高.
结论:
- 机械血栓切除术 (MT) 成为2021年肺栓塞 (PE) 主要的导管治疗 (CBT),尽管整体利用率较低.
- 随着MT成为主要的CBT,MT治疗的患者概况发生了转变,不再仅限于更生病的人.
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