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左侧yoffa技术:完全植入式静脉接入装置 (TIVAD) 放置的安全和优化的方法

Yassine El Bouazizi^1,2, Amine El Bouazizi³, Zakaria El Mouatassim³

¹Surgical Oncology Department, National Institute of Oncology, Ibn Sina University Hospital, Rabat, Morocco. elbouazizi.yassine@gmail.com.

Langenbeck's archives of surgery

|November 10, 2025

概括

左侧Yoffa技术提供了一种安全有效的方法,用于放置完全植入式静脉接入装置 (TIVADs),当右侧接入不可行时. 这种方法尽量减少并发症,并确保瘤病人的导管放置正确.

科学领域:

血管外科血管外科
瘤学支持护理支持护理
干预性放射学干预性放射学

背景情况:

完全植入式静脉接入装置 (TIVAD) 对于长期的瘤患者管理至关重要.
右内静脉接入是标准的,但由于解剖问题或之前的干预,左侧接入有时是必要的.
关节上方的Yoffa技术有助于左侧放置TIVAD.

研究的目的:

描述一个标准化和优化的Yoffa技术用于左侧TIVAD植入.
在临床环境中评估这种左侧方法的安全性和有效性.

主要方法:

一项对719名接受TIVAD安置的患者的回顾性研究,其中216例使用左侧Yoffa技术.
详细的协议包括患者定位,静脉穿刺,导线插入,道和端口植入.
对早期和晚期并发症率的分析以及对左侧通道的指示.

主要成果:

左侧的Yoffa技术显示出较低的并发症率:肺胸部 (0.42%),血瘤 (1.25%),动脉穿刺 (0.42%),导管血栓形成 (0.42%),感染 (1.39%) 和迁移 (0.14%).
这些并发症率与右侧方法相比较.
症状包括右侧阻塞,之前的手术/辐射,以及右侧无法进入.

结论:

在右侧进入具有挑战性时,左侧关节上方的Yoffa技术是TIVAD放置的安全和有效替代方案.
这种方法有效地最大限度地降低了风险,如肺胸部和动脉穿刺.
它确保了导管在上腔静脉内的最佳定位.

关键词:

左侧的yoffa技术是什么在瘤学瘤学.这是一个超关节关节.这就是TIVAD TIVAD.静脉接入静脉接入

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