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上腺静脉采样的成功率和安全性:系统性审查和元分析
Zhitian Huang1, Hongwu Li1, Kaiwen Jiang1
1Department of Cardiology, National Center for Cardiovascular Diseases and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
概括
上腺静脉采样 (AVS) 的前体方法与用于原发性阿尔多斯特隆症诊断的股骨方法一样成功和安全. 这种最少的侵入性技术在经验丰富的中心提供了可比的结果.
科学领域:
- 内分泌学 在内分泌学.
- 干预性放射学 干预性放射学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 上腺静脉采样 (AVS) 对于诊断原发性阿尔多斯特主义至关重要.
- 传统的股骨方法具有潜在的风险.
- 评估替代性静脉接入方法,如前方法,对于患者的安全和程序效率至关重要.
研究的目的:
- 为了评估AVS的成功率和安全性,使用前阴茎方法.
- 为了比较AVS的前阴茎方法与传统的股骨方法.
- 分析关键的程序结果,包括导管成功,并发症和资源利用.
主要方法:
- 进行了系统的元分析,搜索主要数据库 (PubMed,Embase,Cochrane,Web of Science,万芳数据) 到2025年5月.
- 包括11项研究,涉及2332名被诊断患有原发性阿尔多斯特主义的患者.
- 主要结局:右侧和左侧上腺静脉管的成功率;次要结局:并发症,光镜时间,对比度量.
主要成果:
- 在前阴茎和股骨方法之间,右侧 (91.9%) 或左侧 (95.35%) 上腺静脉通道成功率没有显著差异.
- 在这两种方法中,与手术相关的并发症率同样低 (0.36%).
- 在前阴茎和股骨方法之间,可比的光镜时间 (7.64分钟) 和对比剂体积 (19.37毫升).
结论:
- 对于AVS来说,前阴部方法是一种安全有效的替代大腿方法.
- 它显示了可接受的成功率和安全概况,特别是在大量的中心.
- 通过前路线进行的AVS与用于初级阿尔多斯特隆症诊断的股骨方法相比没有明显的劣势.
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