用于道化血液透析导管的皮下固定装置:第一个回顾性多中心病例系列的第一个回顾性多中心病例系列
Francesco Guzzi1, Giordano Fumagalli2, Lorenzo Guenzi1
1Nephrology and Dialysis Unit, Department of Medical Specialties, Azienda USL Toscana Centro, Prato, Italy.
The journal of vascular access
|February 6, 2026
概括
皮下固定系统 (SASS) 有效地稳定了血液透析 (HD) 中心静脉导管 (t-CVC) 的道,防止脱落. 这项研究表明,SASS是一种安全有效的选择,用于HD血管接入.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管接入 血管接入
- 医疗器械 医疗器械
背景情况:
- 皮下固定系统 (SASS) 越来越多地用于血管接入装置的稳定.
- 血液透析 (HD) 患者通常依赖于道中央静脉导管 (t-CVC),但意外脱离是常见的,导致并发症和增加成本.
- 这项研究探讨了SASS在HD患者中确保t-CVC的新型应用.
研究的目的:
- 评估SASS (SecurAcath®) 在血液透析患者中稳定Tesio t-CVC的安全性和有效性.
- 评估t-CVC脱离,迁移,功能障碍和SASS相关并发症的发生率.
- 为了确定与SASS保证的t-CVC的长期可用性.
主要方法:
- 一系列案件涉及24个Tesio t-CVC与SASS (SecurAcath®) 在2022年7月至2023年9月的两个高清中心进行了保护.
- 常规监测脱离,迁移,功能障碍和并发症.
- 使用描述性统计数据进行回顾性数据收集和分析,直到2023年12月.
主要成果:
- 萨斯和t-CVC在总共5,324个CVC日内实施,随访时间中位数为188天.
- 没有发生需要t-CVC更换的完全意外脱落.
- 感染发病率为每1000个CVC日0.56,并且71%的设备在随访结束时仍然具有功能.
结论:
- 这是关于SASS用于血液透析t-CVC的第一个报告.
- 在稳定Tesio t-CVC方面,SecurAcath®证明了安全性和有效性.
- 在HD患者中,SASS代表了一种有前途的解决方案,以防止t-CVC脱.
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