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经皮切内血管修复动脉瘤在之前的缩手术后
Hüseyin Ince1, Michael Petzsch, Tim Rehders
1Division of Cardiology at the University Hospital Rostock, Rostock School of Medicine, Rostock, Germany.
Circulation
|December 10, 2003
概括
内血管支架移植提供了一种安全和可行的非手术选择,用于治疗缩修复后晚发育的胸前大动脉动脉瘤,从而可能避免高风险的重复手术.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 在缩修复后的晚期大动脉动脉瘤形成带来了显著的破裂风险.
- 对这些动脉瘤进行重复手术的死亡率和发病率很高.
- 非手术内血管修复的选择仍然在很大程度上未被探索.
研究的目的:
- 评价血管内支架移植用于胸腔大动脉动脉瘤的可行性和安全性.
- 评估该技术的潜力,以避免重复的手术干预.
主要方法:
- 六个连续患者的回顾性评估,晚期动脉瘤形成后干修复.
- 成功地通过光线将定制的支架移植在体内.
- 随访时间为11至47个月.
主要成果:
- 在技术上,所有患者都成功安置了支架.
- 没有观察到与30天或1年干预相关的死亡率或发病率.
- 实现了最佳的胸前大动脉重建;一个人因与癌症无关的晚期死亡.
结论:
- 使用支架移植的非手术大动脉重建对于晚期术后胸腺动脉瘤是安全的,也是可行的.
- 干预性支架移植可能可以避免这些复杂病例的重复手术.
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