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使用手工制作的循环陷导管的ipsilateral pull-through技术,用于难以移除端口导管的导管

Tomomasa Matsuo^1,2, Atsushi Saiga³, Rui Sato¹

¹Division of Interventional Radiology, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.

CVIR endovascular

|January 15, 2026

概括

一种经过修改的ipsilateral pull-through技术有效地从完全植入式静脉接入装置 (TIVADs) 中去除附着的导管. 这种方法对于在标准技术失败时挑战TIVAD移除至关重要,确保患者的安全.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
医疗器械技术医疗器械技术

背景情况:

完全植入式静脉接入装置 (TIVAD) 对于长期治疗至关重要.
导管粘附于血管壁可以使TIVAD的移除复杂化,特别是在长时间植入后.
对于附着的TIVAD导管,标准的去除方法可能不足.

研究的目的:

提出一种修改后的内血管技术,用于难以移除TIVAD.
评估这种技术在粘附导管的情况下的临床相关性.
为挑战TIVAD移除场景展示一个解决方案.

主要方法:

在2015年12月至2025年4月期间,对367个TIVAD删除程序进行了追溯分析.
标准移除技术与修改后的ipsilateral pull-through技术的比较.
详细描述 ipsilateral pull-through 技术手工制作的循环陷结构.

主要成果:

在8名患者中,7名患者的ipsilateral pull-through技术成功地移除了附着的TIVADs.
在需要这种技术的队列中,观察到平均2473天的居住时间.
发现了一例导管骨折,没有其他并发症;术后证实了血管通透性.

结论:

修改后的ipsilateral pull-through技术是一种有价值的方法,用于在困难的TIVAD移除过程中脱离附着导管.
这种技术为标准删除失败的复杂情况提供了可行的解决方案.
该研究强调了这种方法在管理具有挑战性的TIVAD移除过程中的安全性和有效性.

关键词:

手工制作的循环-陷导管.这是一种ipsilateral pull-through技术.完全可植入的静脉接入装置.

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