对使用新型自动微泡沫制备装置进行泡沫硬化疗法的患者进行首次登记(2021-2022 年)。

Enric Roche, Cristina Marqués
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引用次数: 0

摘要

目的:介绍自动微泡沫制备系统(AMPS)在实际环境中用于治疗静脉曲张的结果:介绍在实际环境中使用自动微泡沫制备系统(AMPS)治疗静脉曲张的结果:我们根据 2021 年 2 月至 2022 年 12 月期间接受泡沫硬化剂治疗的患者的前瞻性数据库进行了一项描述性研究。使用含有无菌空气或低氮混合物的胶囊制备 Polidocanol 泡沫。我们记录了每次治疗的用量、硬化剂比例、治疗次数、血栓夹层释放情况、并发症和不良事件。我们使用 Stata V.16 进行了单变量描述性分析:在 23 个月的时间里,185 名患者(84.9% 为女性,15.1% 为男性)接受了 685 次治疗。中位年龄为 51.6 岁(16-79 岁)。68.9%的疗程治疗的是线状静脉,7.2%的疗程治疗的是支静脉,22.6%的疗程治疗的是躯干静脉。每次治疗的平均用药量如下:线状静脉,8 毫升;大隐静脉(GSV),6.9 毫升;小隐静脉(SSV),4.3 毫升。平均药物浓度如下:线状静脉,0.18%;GSV,1.49%;SSV,1.63%。线状静脉的平均治疗次数为 3.4 次,支静脉为 2 次,GSV 为 2.7 次,SSV 为 2.9 次。15 个月后,大隐静脉的闭塞率为 93.2%(41/43),小隐静脉的闭塞率为 86%(13/15)。我们共记录了 21 例并发症(占疗程的 3.1%),其中 14 例为轻微并发症(占疗程的 2%),7 例为中度不良事件(占疗程的 1%):这种新型装置用途广泛,可用于制备各种浓度的泡沫。结论:这一新型设备用途广泛,可用于制备各种浓度的泡沫,对大隐静脉主干的闭塞率较高,对线状静脉的治疗次数最少,表明该系统是治疗静脉疾病的有利选择。此外,残余色素沉着的发生率较低,这可能是因为该系统能够根据具体情况调整泡沫浓度,从而达到最佳效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
First registry of patients treated with foam sclerotherapy using a new automated microfoam preparation device (2021-2022).

Objectives: To present results for the use of an automated microfoam preparation system (AMPS) in the treatment of varicose veins in a real-world setting.Method: We performed a descriptive study based on a prospective database of patients treated with foam sclerotherapy between February 2021 and December 2022. Polidocanol foam was prepared using a capsule containing sterile air or a low-nitrogen mix. We recorded volume per session, percentage of sclerosing drug, number of sessions, release of thrombus entrapment, complications, and adverse events. A univariate descriptive analysis was performed using Stata V.16.Results: Over a 23-month period, 185 patients (84.9% women, 15.1% men) underwent 685 sessions. Median age was 51.6 years (range, 16-79 years). Thread veins were the condition treated in 68.9% of sessions, tributaries in 7.2%, and truncal veins in 22.6%. The average volume per session was as follows: thread veins, 8 mL; great saphenous vein (GSV), 6.9 mL; and small saphenous vein (SSV), 4.3 mL. The average drug concentration was as follows: thread veins, 0.18%; GSV, 1.49%; and SSV, 1.63%. The average number of sessions was 3.4 for thread veins, 2 for tributaries, 2.7 for the GSV, and 2.9 for the SSV. The occlusion rate at 15 months was 93.2% (41/43) for the great saphenous vein and 86% (13/15) for the small saphenous vein. We recorded a total of 21 complications (3.1% of sessions), 14 of which were minor complications (2% sessions), and 7 moderate adverse events (1% of sessions).Conclusions: This new device is highly versatile and can be used for preparing foam at all concentrations. It contributes to a high rate of occlusion in saphenous trunks, with a minimal number of sessions required for thread veins indicating that the system is a favorable option in the treatment of venous diseases. Additionally, the low frequency of residual pigmentation may be attributed to the system's ability to tailor the foam concentration to the individual case, thus supporting optimal outcomes.

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