病人选择标准和手续标准化为动脉支架-一个单一的中心体验体验
Paolo Calo1, Alexander Oberhuber2, Hartmut Görtz1
1Department of Vascular Surgery, Bonifatius Hospital Lingen, 49808 Lingen, Germany.
Journal of clinical medicine
|May 27, 2023
概括
动脉支架 (CAS) 可以在精心挑选的患者中实现较低的并发症率. 标准化CAS程序和材料对于患者安全和成功的结果至关重要.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 神经学 神经学
背景情况:
- 动脉内关节切除术 (CEA) 是动脉狭窄症的黄金标准.
- 动脉支架 (CAS) 是另一种选择,但随机试验显示中风率更高.
- 之前的CAS试验具有显著的程序异质性.
研究的目的:
- 评估CAS在高度精选的患者队列中的安全性和有效性.
- 根据标准化的CAS,评估介入前的中风和死亡率.
- 确定严格的患者选择和程序标准化对CAS结果的影响.
主要方法:
- 对接受CAS (2012-2020) 的202名患者进行了回顾性分析.
- 根据严格的解剖学和临床标准预先选择的患者.
- 由经验丰富的外科医生执行的标准化CAS程序和使用的材料.
主要成果:
- 对于CAS,技术成功率为100%.
- 周围手术并发症率较低,为1.5%.
- 包括一个大脑中风 (0.5%) 和两个小脑中风 (1%).
结论:
- 严格的患者选择显著降低了CAS并发症率.
- 标准化CAS程序和材料对于最佳安全至关重要.
- 在严格的条件下进行时,CAS是CEA的安全有效替代品.
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