Retrospective evaluation of interventional radiological treatments for chronic mesenteric ischemia in Germany based on a four-year period of the DeGIR Registry: comparison of outcomes with international quality standards.

IF 1.3 4区医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren Pub Date : 2024-11-01 Epub Date: 2024-02-26 DOI:10.1055/a-2258-3437

Moritz B Bastian, Joel Wessendorf, Michael Scheschenja, Alexander Marc König, Jonathan Nadjiri, Andreas H Mahnken

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引用次数: 0

Abstract

Purpose: Endovascular treatment has emerged as the gold standard for managing chronic mesenteric ischemia (CMI) resulting from arterial stenosis or occlusion. This study aimed to assess the efficacy and complication rates of continuous interventional radiology treatment for CMI in Germany between 2018 and 2021, comparing these findings with international quality standards.

Materials and methods: Data for CMI therapy with stenting and percutaneous transluminal angioplasty (PTA) was obtained from the quality management system of the German Interventional Radiological Society (DeGIR). A total of 3752 endovascular procedures for CMI performed from 2018 to 2021 were documented (PTA: n = 675; stenting: n = 3077). Data was analyzed for technical and clinical success rates, as well as major complication rates.

Results: Overall technical and clinical success rates for PTA and stenting procedures were 92.03 %/85.9 % and 98.76 %/96.62 %, respectively. The most common major complications were: arterial occlusion (PTA: 0.73 %; stenting: 0.63), major bleeding (PTA: 1.05 %; stenting: 0.68 %), aneurysm formation (PTA: 0.29 %; stenting: 0.72 %), stent dislodgment (PTA: 0 %; stenting: 0.06 %), and organ failure (PTA: 0.43 %; stenting: 0.96 %). Technical and clinical success rates were higher, while complication rates were lower than the corresponding threshold recommended by the Society of Interventional Radiology for the percutaneous management of chronic mesenteric ischemia.

Conclusion: Treatment of CMI performed by interventional radiologists in Germany is safe and effective during daily and on-call shifts with results exceeding internationally accepted standards.

Key points: · Treatment of CMI by interventional radiologists in Germany is effective and safe.. · The interventions are safe and effective regardless of whether they are performed during on-call shifts or the daily routine.. · The clinical and technical success rates favorably surpass the thresholds presented by SIR.. · Different major complications occurred in under 1.1 % of CMI interventions..

Citation format: · Bastian M, Wessendorf J, Scheschenja M et al. Retrospective evaluation of interventional radiological treatments for chronic mesenteric ischemia in Germany based on a four-year period of the DeGIR Registry: comparison of outcomes with international quality standards . Fortschr Röntgenstr 2024; 196: 1155 - 1160.

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基于 DeGIR 注册表的四年期对德国慢性肠系膜缺血介入放射治疗的回顾性评估：结果与国际质量标准的比较。

目的：血管内治疗已成为治疗动脉狭窄或闭塞导致的慢性肠系膜缺血（CMI）的金标准。本研究旨在评估2018年至2021年间德国连续介入放射学治疗CMI的疗效和并发症发生率，并将这些结果与国际质量标准进行比较：支架植入术和经皮腔内血管成形术（PTA）治疗CMI的数据来自德国介入放射学会（DeGIR）的质量管理系统。2018年至2021年期间，共记录了3752例CMI血管内手术（PTA：n = 675；支架植入：n = 3077）。对数据进行了技术和临床成功率以及主要并发症发生率的分析：PTA和支架植入术的总体技术和临床成功率分别为92.03%/85.9%和98.76%/96.62%。最常见的主要并发症是：动脉闭塞（PTA：0.73%；支架植入术：0.63%）、大出血（PTA：1.05%；支架植入术：0.68%）、动脉瘤形成（PTA：0.29%；支架植入术：0.72%）、支架脱落（PTA：0%；支架植入术：0.06%）和器官衰竭（PTA：0.43%；支架植入术：0.96%）。技术和临床成功率较高，而并发症发生率低于介入放射学会推荐的经皮治疗慢性肠系膜缺血的相应阈值：结论：在德国，介入放射科医生在日常和值班期间对慢性肠系膜缺血进行治疗是安全有效的，治疗效果超过了国际公认的标准：- 德国介入放射科医生对CMI的治疗是有效和安全的。- 无论在值班期间还是在日常工作中，介入治疗都是安全有效的。- 临床和技术成功率大大超过了SIR提出的标准。- 在CMI介入治疗中，发生各种重大并发症的比例不到1.1%。

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Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren 医学-核医学

CiteScore

1.20

自引率

5.60%

发文量

340

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