在没有尝试内镜血静止的情况下,在福雷斯特II型患者中使用预防性透过导管动脉栓塞
Xiyue Zhang1, Dongqing Wang2, Qingliang Zhu2
1School of Clinical Medical Sciences, Southwest Medical University, Luzhou, China.
Medicine
|March 6, 2026
概括
预防性透过导管动脉栓塞 (TAE) 对于没有内镜治疗的福雷斯特II型来说是安全有效的. 这种干预显示出高的成功率和低的再出血率,NSAID史预测阳性血管造影.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 血管外科 血管外科
背景情况:
- 福雷斯特II型是胃肠道出血的重要原因之一.
- 内镜血静是标准的治疗方法,但可能会出现复出出血.
- 对于高风险的患者,正在探索预防性干预措施.
研究的目的:
- 评估预防性透过导管动脉栓塞 (TAE) 在Forrest II型患者的效用.
- 评估在接受预防性TAE的患者中与阳性血管造影相关的因素.
- 在这个患者队列中确定预防性TAE的安全性和有效性.
主要方法:
- 对33名福雷斯特II型患者的回顾性审查,这些患者在没有先前内镜血静的情况下接受了预防性TAE.
- 收集的数据包括人口统计,临床表现,并发症,药物,内镜检查结果和手术结果.
- 进行了单变量和多变量分析,以确定与阳性血管学相关的因素.
主要成果:
- 技术成功率为100%,没有TAE相关的并发症.
- 临床成功率为97.0%,低复出血率为3.0%.
- 在45.5%的患者中观察到阳性血管造影,NSAID史是显著的预测因素 (OR=8.76,P=.012).
结论:
- 预防性TAE是福雷斯特II型的安全和有效的治疗选择,当不尝试内镜血静时.
- 在这些患者中,NSAID使用是与阳性血管造影结果相关的关键因素.
- 这种方法为管理特定高风险出血病例提供了一个有希望的替代方案.
相关概念视频
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
578
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
578
01:29Venous Thrombosis III: Interprofessional Care
432
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
432
01:27Peripheral Artery Disease III: Interprofessional Care
469
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
469
01:27Pulmonary Embolism III: Nursing Management
572
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
572
01:22Aneurysm IV: Nursing Management
556
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
556
01:26Peptic Ulcer Disease IV: Management
598
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
598