对严重的外周动脉化进行静脉内溶解 - - 一个为期3年的单一中心经验
Inês Gueifão1, Ricardo Correia1, Anita Quintas1
1Hospital de Santa Marta, Unidade Local de Saúde de São José, Lisbon, Portugal; NOVA Medical School, Lisbon, Portugal.
Portuguese journal of cardiac thoracic and vascular surgery
|November 13, 2025
概括
静脉内溶解 (IVL) 有效地准备严重化的动脉在周围动脉疾病 (PAD) 中进行内血管程序. 这种辅助治疗证明了安全性和有效性,在股骨干预中并发症率低.
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
- 血管外科 血管外科
背景情况:
- 严重的动脉化在内血管手术中带来了重大挑战,影响了成功率和患者的治疗结果.
- 传统的气球血管整形经常产生不足的光增益,需要先进的斑块修饰技术.
- 静脉内石 (IVL) 已成为治疗复杂动脉病变的有前途的辅助策略.
研究的目的:
- 评价使用静脉内石流术 (IVL) 治疗外周动脉疾病 (PAD) 的机构经验和结果.
- 评估IVL作为血管准备工具在内血管再血管化中的安全性和有效性.
- 分析为PAD进行IVL的患者的手术成功,并发症和临床结果.
主要方法:
- 从2021年10月到2024年9月,对前性维护的数据库进行了回顾性分析.
- 包括在PAD内血管治疗期间接受IVL进行血管准备的患者.
- 数据收集包括患者的人口统计,危险因素,病变特征,程序细节和临床结果.
主要成果:
- 19名患有PAD的患者 (79%男性,中位数年龄76岁) 接受治疗,主要是患有股骨损伤的患者 (68%).
- IVL促进了病变的穿越,随后主要是支架 (79%),没有报告的手术并发症.
- 主要不良四肢事件 (MALE) 较低 (5%主要截肢),所有原因死亡率为16%.
结论:
- 血管内溶解 (IVL) 是一种安全有效的辅助疗法,用于血管内复血管化的血管准备,特别是对于股骨损伤.
- 该程序表明不常见的并发症,MALE和死亡率.
- 需要进一步研究甲状腺和腹膜下部的应用,以及与替代治疗方法进行比较研究.
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