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在末期脏病患者中,间歇性听的内干预后的结果很差

Thomas W Cheng¹, Alik Farber², Maha Haqqani²

¹Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Journal of vascular surgery

|December 21, 2025

概括

患有末期病 (ESRD) 的患者接受间歇性关 (IC) 干预,面临死亡,截肢和重新干预的更高风险. 非侵入性治疗应该优先考虑这个脆弱的人群.

科学领域:

血管外科血管外科
腎臟病學 (nephrology) 是一種醫學專業.
公共卫生公共卫生

背景情况:

间歇性声 (IC) 干预的目标是安全性,耐用性和长期益处.
末期病 (ESRD) 患者的手术并发症风险增加,生存率降低.
在ESRD患者中评估IC干预的术后和1年的结果至关重要.

研究的目的:

评估外周血管干预 (PVI) 和下内绕道 (IIB) 对于ESRD患者的IC的安全性和有效性.
为了比较经过IC干预的ESRD和非ESRD患者之间的术后和1年的结果.

主要方法:

对血管质量倡议数据库 (2010-2020年) 的分析,用于IC的PVI和IIB程序.
对ESRD和没有ESRD的患者之间的人口统计,并发症,程序和结果数据的比较.
统计分析包括卡普兰-梅尔和多变量模型来评估结果.

主要成果:

接受PVI的ESRD患者的30天死亡率较高 (2.2%vs0.4%) 和1年的结果更差 (免于重新干预/截肢/死亡:62.8%vs86.7%).
接受IIB治疗的ESRD患者心脏并发症的发生率更高 (8.7%vs. 3.2%) 和1年的结果更差 (免于重新干预/截肢/死亡:66.7%vs. 81.3%).
对于PVI和IIB,ESRD独立地与重新干预,重大截肢和死亡的风险增加有关.

结论:

在IC干预后,ESRD患者经历了显著更高的外科手术期间发病率和较差的长期结果,包括门诊功能障碍,肢体损失和死亡率.
在ESRD患者的IC干预中,仔细评估风险和益处至关重要.
为了最大限度地提高非侵入性治疗选择,应优先考虑ESRD患者的IC.

关键词:

透析是通过透析进行的.这是内血管内血管的内血管.下下绕道是指下下绕道.腿部绕行路由器腿部绕行路脏疾病脏疾病

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