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在猪模型中对两种带可调节环的异物取出装置进行比较。

Comparison of two foreign body retrieval devices with adjustable loops in a swine model.

作者信息

Kónya András

机构信息

Section of Interventional Radiology, Division of Diagnostic Imaging, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.

出版信息

Cardiovasc Intervent Radiol. 2006 Nov-Dec;29(6):1060-7. doi: 10.1007/s00270-005-0208-8.

Abstract

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.

摘要

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。

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