Kónya András
Section of Interventional Radiology, Division of Diagnostic Imaging, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.
Cardiovasc Intervent Radiol. 2006 Nov-Dec;29(6):1060-7. doi: 10.1007/s00270-005-0208-8.
The purpose of the study was to compare two similar foreign body retrieval devices, the Texan (TX) and the Texan LONGhorn (TX-LG), in a swine model. Both devices feature a < or = 30-mm adjustable loop. Capture times and total procedure times for retrieving foreign bodies from the infrarenal aorta, inferior vena cava, and stomach were compared. All attempts with both devices (TX, n = 15; TX-LG, n = 14) were successful. Foreign bodies in the vasculature were captured quickly using both devices (mean +/- SD, 88 +/- 106 sec for TX vs 67 +/- 42 sec for TX-LG) with no significant difference between them. The TX-LG, however, allowed significantly better capture times than the TX in the stomach (p = 0.022), Overall, capture times for the TX-LG were significantly better than for the TX (p = 0.029). There was no significant difference between the total procedure times in any anatomic region. TX-LG performed significantly better than the TX in the stomach and therefore overall. The better torque control and maneuverability of TX-LG resulted in better performance in large anatomic spaces.
本研究的目的是在猪模型中比较两种类似的异物取出装置,即德州(TX)装置和德州长角(TX-LG)装置。两种装置均具有≤30毫米的可调节环。比较了从肾下主动脉、下腔静脉和胃中取出异物的捕获时间和总操作时间。使用两种装置的所有尝试(TX组,n = 15;TX-LG组,n = 14)均成功。两种装置均可快速捕获血管中的异物(平均值±标准差,TX组为88±106秒,TX-LG组为67±42秒),两者之间无显著差异。然而,TX-LG在胃中的捕获时间明显优于TX(p = 0.022)。总体而言,TX-LG的捕获时间明显优于TX(p = 0.029)。在任何解剖区域的总操作时间之间均无显著差异。TX-LG在胃中以及总体上的表现均明显优于TX。TX-LG更好的扭矩控制和可操作性使其在大解剖空间中表现更佳。