药物输出支架与血清透析中的支架移植 血管接入 输出干预
Andreia Pinelo1,2, Luís Loureiro1,2, Daniel Mendes1,2
1Grupo de Estudos Vasculares, Vascular Access Center, Porto, Portugal.
概括
药物排泄支架 (DES) 和支架移植 (SG) 有效地减少了血液透析血管接入狭窄的干预措施. 两种设备都显示出可比的透透率,为管理外流狭窄提供了有价值的替代方案.
科学领域:
- 血管外科 血管外科
- 干预性病学 干预性病学
- 医疗器械 医疗器械
背景情况:
- 血液透析血管接入阻塞症需要频繁的干预.
- 支架移植 (SG) 已被批准用于保持访问通透性.
- 流出狭窄的管理对于透析的长寿至关重要.
研究的目的:
- 比较非标签的药物排泄支架 (DES) 与支架移植 (SGs) 对于血液透析血管通道外流狭窄.
- 评估DES和SG在减少目标损伤干预 (TLI) 的有效性.
- 评估和比较DES和SG治疗组之间的通透率.
主要方法:
- 单中心回顾性研究.
- 包括156名接受DES (n=60) 或SG (n=106) 治疗的患者.
- 主要结果:对DES和SG组之间的通透率进行比较.
主要成果:
- 与普通气球血管整形相比,DES和SG都显著降低了平均目标损伤干预 (TLI) 和延长了TLI无时间.
- 在12个月后,DES的初级通透率为49.9%,SG为58.8% (p=0.198).
- 在12个月后,DES和SG组之间的辅助初级和二级通透率是可比的.
结论:
- DES和SG显著减少了TLI,并延长了无TLI间隔.
- 在DES和SG之间没有观察到总体透度的显著差异.
- 通过避免静脉监禁,DES为外流狭窄提供了一个可行的替代方案,通过避免静脉监禁,保护未来的访问选择.
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