Obtura 8F血管关闭装置在神经介入治疗中的安全性和有效性:回顾性分析。

IF 0.7
Rasmiranjan Padhi, Virag Sanjay Shethna, Jagadeesan Dhanasekaran, Kiran Kumar Shetty
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引用次数: 0

摘要

目的血管闭合装置(vcd)在现代神经介入手术中是必不可少的,它通过加速止血、减少并发症和早期活动来提供比手动压迫更大的优势。Obtura 8F VCD是一种新型的生物可吸收封闭装置,旨在提高安全性和手术效率。本研究评估其在股动脉入路后止血和预防血管并发症的有效性和安全性。方法本研究为回顾性、单中心研究,分析采用Obtura 8F VCD闭塞股动脉的患者。主要表现终点是在没有额外干预的情况下成功止血。主要安全终点是30天和3个月内血管并发症的发生率。次要结局包括活动时间和住院时间。结果共纳入100例患者,平均年龄59.48±13.03岁,男性占64%。96%的病例成功止血,所有患者在术后8小时内都能活动肢体。住院期间,6%的患者发生血肿/假性动脉瘤,年龄≥65岁、高血压和糖尿病被确定为重要危险因素。在30天或3个月时均未报告感染证据。大多数患者(80%)在4 ~ 7天内出院。结论Obtura 8F VCD止血效果好,安全性强,无重大血管并发症。这些发现支持将其作为人工按压的可靠替代方案,促进患者更快康复,并可能减少医院资源的利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Safety & Effectiveness of the Obtura 8F Vascular Closure Device in Neuro-Interventional Practice: A Retrospective Analysis.

ObjectiveVascular closure devices (VCDs) are essential in modern neuro-interventional procedures, offering advantages over manual compression by accelerating hemostasis, reducing complications, and enabling early ambulation. The Obtura 8F VCD is a novel bioabsorbable closure device designed to enhance safety and procedural efficiency. This study evaluates its efficacy and safety in achieving hemostasis and preventing vascular complications following femoral artery access.MethodThis retrospective, single-center study analyzed patients who underwent femoral artery closure with the Obtura 8F VCD. The primary performance endpoint was a successful hemostasis without additional intervention. The primary safety endpoint was the incidence of vascular complications within 30 days and 3 months. Secondary outcomes included time to ambulation and length of hospital stay.ResultsA total of 100 patients (mean age: 59.48 ± 13.03 years, 64% male) were included. Hemostasis was successfully achieved in 96% of cases, and all patients were able to move the limb within 8 hours post-procedure. During hospitalization, hematoma/pseudoaneurysm occurred in 6% of patients, with age ≥65 years, hypertension, and diabetes identified as significant risk factors. No evidence of infection was reported at either 30 days or 3 months. The majority of patients (80%) were discharged within 4-7 days.ConclusionsThe Obtura 8F VCD demonstrated high efficacy in achieving hemostasis with a strong safety profile with no major vascular complications. These findings support its use as a reliable alternative to manual compression, facilitating faster patient recovery and potentially reducing hospital resource utilization.

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