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菌性大动脉动脉瘤的内血管治疗:欧洲多中心研究
Karl Sörelius1, Kevin Mani1, Martin Björck1
1From the Institution of Surgical Sciences, Department of Vascular Surgery, Uppsala University, Sweden (K.S., K.M., M.B., A.W.); Department of Vascular Surgery, Na Homolce Hospital, Prague, Czech Republic (P.S.); Department of Vascular Surgery, Karolinska Hospital, Stockholm, Sweden (C.-M.W.); Department of Vascular Surgery, Guy's & St. Thomas' Hospital, London, United Kingdom (R.E.C., P.T., O.L.); St. George's Vascular Institute, London, United Kingdom (M.T., J. Brownrigg); Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, United Kingdom (K.I., M.D.); Regional Vascular Unit, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom (M.P.J., U.J.); Department of Cardiovascular Sciences and the NIHR Leicester Cardiovascular Biomedical Research Unit, University of Leicester, Leicester, United Kingdom (M.B.); Clinic for Cardiovascular Surgery, University Hospital Zürich, Zürich, Switzerland (Z.R., D.M.); Department of Vascular Surgery, University of Cologne, Cologne, Germany (J. Brunkwall, M.G.); Department for Vascular Medicine, University Heart Center, University Hospital Eppendorf Hamburg, Hamburg, Germany (T.K.); Division of Vascular Surgery, University of Nice-Sophia Antipolis, Nice, France (E.J.-B.); Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands (F.M., P.B.); Department of Vascular Surgery, Attikon University Hospital, Athens, Greece (C.D.L., K.G.M.); Department of Vascular Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden (M.L., K.R.); and Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden (T.L., A.P.).
内血管大动脉修复 (EVAR) 是一种可行的治疗真菌性大动脉动脉瘤 (MAA),为大多数患者提供耐用性. 然而,晚期感染仍然是一个风险,强调需要长期使用抗生素和监测,特别是对于非沙门氏菌阳性培养的患者.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 血管医学 血管医学
背景情况:
- 菌性大动脉动脉瘤 (MAA) 是一种罕见但危及生命的疾病.
- 内血管大动脉修复 (EVAR) 是MAA日益使用的治疗方式.
- 评估MAA对EVAR的长期耐用性和结果至关重要.
研究的目的:
- 在患有菌性大动脉动脉瘤 (MAA) 的患者中评估血管内大动脉修复 (EVAR) 的持久性.
- 调查MAA的EVAR后晚期感染相关的并发症.
- 为了确定MAA的EVAR后的长期存活率.
主要方法:
- 在1999年至2013年期间,在16个欧洲中心对130个经过EVAR治疗的MAA进行了回顾性审查.
- 对患者人口统计,动脉瘤位置,EVAR类型和抗生素治疗持续时间的分析.
- 长期随访以评估生存,并发症和死亡率预测因素.
主要成果:
- 123名患有MAA的患者接受了EVAR,平均随访时间为35个月.
- 总体生存率为1个月后91%,1年后75%,5年后55%,10年后41%.
- 与感染相关的死亡发生在19%的患者中,非沙门氏菌阳性培养物被确定为晚期死亡的预测因素.
结论:
- 血管内主动脉修复 (EVAR) 是大多数真菌性大动脉动脉瘤 (MAA) 患者的可行和持久的选择.
- 晚期感染是一个重大问题,通常是致命的,需要长时间的抗生素治疗和警的随访.
- 识别非沙门氏菌阳性血培养患者对于管理晚期感染相关死亡风险至关重要.
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