AcoStream血栓抽吸导管用于治疗急性中-高危肺栓塞  

AcoStream thrombus aspiration catheter for treating intermediate-high risk acute pulmonary embolism

作　　者：陆双林 季敏捷[1] 赵雯 黄永东[1] 施海辉[1] 刘影 毛健[1] LU Shuanglin;JI Minjie;ZHAO Wen;HUANG Yongdong;SHI Haihui;LIU Ying;MAO Jian(Department of Interventional Vascular Surgery,Qidong People’s Hospital,Affiliated Qidong Hospital of Nantong University,Nantong 226200,China)

机构地区：[1]启东市人民医院南通大学附属启东医院介入血管外科,江苏南通226200

出　　处：《中国介入影像与治疗学》2025年第1期2-5,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：南通市基础科学研究和社会民生科技计划项目(MSZ2022067)。

摘　　要：目的 观察AcoStream血栓抽吸导管用于治疗中-高危急性肺栓塞(APE)的价值。方法 回顾性纳入26例接受AcoStream血栓抽吸导管治疗的中-高危APE患者,记录即刻技术成功率、操作成功率、靶血管血栓清除率,围术期临床成功率及并发症,以及随访期间肺栓塞(PE)复发。结果 AcoStream血栓抽吸导管治疗26例中-高危APE的即刻技术成功率为100%(26/26)、操作成功率92.31%(24/26);即刻靶血管血栓清除率中位数为63.37%,其中16例(16/26,61.54%)达Ⅱ级及以上。围术期临床成功率为96.15%(25/26)。治疗过程中2例出现一过性心律失常、2例出现短暂胸闷加重;治疗后1例发生穿刺点皮下血肿。随访期间未见症状性PE复发。结论 AcoStream血栓抽吸导管用于治疗中-高危APE安全、有效,值得临床推广应用。Objective To observe the value of AcoStream thrombus aspiration catheter for treating intermediate-high risk acute pulmonary embolism(APE).Methods Twenty-six patients with intermediate-high risk APE who underwent treatment with AcoStream thrombus aspiration catheter were retrospectively collected.The immediate technical success rate,procedure success rate and thrombus clearance rate of target vessels were recorded,as well as clinical success rate and complications in perioperative period and the recurrence of pulmonary embolism(PE)during follow-up.Results Among 26 patients with intermediate-high risk APE,the immediate technical success rate was 100%(26/26),the procedure success rate was 92.31%(24/26),and the immediate thrombus clearance rate of target vessels was 63.37%as median,including 16 cases(16/26,61.54%)achieved thrombus clearance rate gradeⅡor above.The perioperative period clinical success rate of treating intermediate-high risk APE was 96.15%(25/26).Two patients experienced transient arrhythmia and other 2 patients experienced worsening transient chest tightness during the procedure,and 1 case developed hematoma at the puncture site after treatment.During follow-up,no recurrence of symptomatic PE was observed.Conclusion AcoStream thrombus aspiration catheter was safe and effective for treating intermediate-high risk APE,worthy clinical promotion and application.

关 键 词：肺栓塞 急性病 血栓切除术 导管置入 

分 类 号：R563.5[医药卫生—呼吸系统] R815[医药卫生—内科学]