[1]张彦卿,徐学振.AcoStream血栓抽吸手术治疗急性高危肺栓塞的疗效及其风险因素[J].介入放射学杂志,2025,34(08):834-839.[doi:10.3969/j.issn.1008-794X.2025.08.006 ]
 ZHANG Yanqing,XU Xuezhen..AcoStream mechanical thrombectomy for the treatment of acute high-risk pulmonary embolism:its clinical efficacy and risk factors[J].J Intervent Med,2025,34(08):834-839.[doi:10.3969/j.issn.1008-794X.2025.08.006 ]
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AcoStream血栓抽吸手术治疗急性高危肺栓塞的疗效及其风险因素 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年08
页码:
834-839
栏目:
血管介入
出版日期:
2025-08-25

文章信息/Info

Title:
AcoStream mechanical thrombectomy for the treatment of acute high-risk pulmonary embolism:its clinical efficacy and risk factors
文章编号:
1008-794X(2025)-008-0834-06
作者:
张彦卿 徐学振
264003 山东烟台 滨州医学院第二临床医学院
Author(s):
ZHANG YanqingXU Xuezhen.
The Second School of Clinical Medicine of Binzhou Medical University,Yantai,Shandong Province 264003,China
关键词:
肺栓塞 血栓清除术 AcoStream血栓抽吸术
分类号:
R655.3
DOI:
10.3969/j.issn.1008-794X.2025.08.006
文献标志码:
A
摘要:
目的 观察AcoStream血栓抽吸手术治疗高危急性肺栓塞(acute pulmonary embolism,APE)疗效和安全性,并分析术后肺动脉栓塞复发的风险因素。方法 选择2018年1月至2023年4月滨州医学院烟台附属医院收治的高危APE患者137例,其中采用AcoStream血栓抽吸手术(吸栓组)76例,导管定向溶栓手术(溶栓组)61例。比较两组患者的术前风险、手术核心指标、围术期及随访相关结果,不良事件发生率。分析吸栓组术后1个月与肺栓塞复发相关的风险指标。结果 与溶栓组相比,吸栓组术前的肺栓塞风险分层更高、年龄更大、心功能分级更高、术中尿激酶用量更少、术后住院时间更短,差异均有统计学意义(均 P <0.05)。随访1个月,两组患者肺栓塞复发率差异有统计学意义( P =0.026)。Logistic回归分析提示,术前NT-proBNP浓度是术后1个月肺栓塞复发的风险因素( OR =1.001,95% CI :1.000~1.001)。结论 AcoStream血栓抽吸手术可以清除不同肺动脉节段的血栓,适用于APE的治疗,在减少出血的同时不会增加手术时间,而且在改善右心功能及安全性方面表现出较好的优势。

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(收稿日期:2024-10-31)
(本文编辑:新 宇)

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备注/Memo

备注/Memo:
通信作者: 徐学振 E-mail:xuxuezhen666@163.com
更新日期/Last Update: 2025-08-25