一种新的主动脉端到端的解静脉接器设备 - - 人体尸体研究的结果
Emilio Osorio-Jaramillo1, Jasmine El-Nashar2, Satoshi Kainuma1,3
1Department of Cardiac and Thoracic Aortic Surgery, Medical University of Vienna, Austria.
概括
与传统 sutures 相比,一种新的大动脉解剖装置在大动脉手术中显著加快了端到端解剖. 这种创新设备还可以减少组织创伤,有可能改善患者的治疗结果,缩短循环停止时间.
科学领域:
- 心血管外科心血管外科
- 生物医学工程 生物医学工程
- 手术创新 在外科创新.
背景情况:
- 大动脉置换手术通常涉及复杂的解剖.
- 尽量减少循环停止时间对于患者的安全至关重要.
- 目前的接技术可能耗时,并可能导致组织创伤.
研究的目的:
- 评估一种用于制造端到端主动脉解剖的新型装置.
- 为了比较设备的性能与传统接.
- 为了评估设备对解器时间,流体损失和组织创伤的影响.
主要方法:
- 在十具人体尸体上模拟了上升性大动脉置换.
- 程序分为传统的4 - 0聚烯和新型解器件.
- 解剖时间,液体泄漏和组织创伤 (微观的内撕裂) 是主要和次要终点.
主要成果:
- 解剖器装置组的解剖器缩短了显著的解剖时间 (5:39分钟:秒) 与组 (9:17分钟:秒).
- 与针相比,与设备一起使用的针头较少 (17对22).
- 显微镜分析显示所有被接的标本中都存在亲密撕裂,但在设备组中没有 (p=0.008).
结论:
- 这种新型的大动脉动装置在技术上是可行的,而且比传统 suturing.
- 该设备证明了与可比的液体密封性减少了组织创伤.
- 建议进行进一步的体内研究,以验证这些发现的临床应用.
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