甲状腺:覆盖,不覆盖,CERAB与周围动脉疾病相关
Sayeh Bozorghadad1, Matthew J Scheidt1, Parag J Patel1
1Department of Radiology, Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Seminars in interventional radiology
|June 19, 2023
概括
周围动脉疾病 (PAD) 的管理正在转变. 血管内技术提供了较好的结果和降低死亡率,相比于对大心血管疾病的开放手术.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 心血管医学 心血管医学
背景情况:
- 周围动脉疾病 (PAD) 影响全球超过2亿人,造成严重的死亡率和截肢风险.
- 从历史上看,开放式手术是甲状腺疾病的黄金标准,尽管手术前死亡率很高.
- 血管内技术的进步正在重塑PAD的治疗模式.
研究的目的:
- 为了比较开放外科手术与内血管技术的疗效,用于甲状腺病.
- 突出在PAD管理中采用内血管第一方法的好处.
- 审查新的内血管技术,如覆盖主动脉分叉的内血管重建.
主要方法:
- 对关节病的开放性手术和内血管治疗策略的比较综述.
- 分析技术成功率,初级和二级发明率.
- 根据TASC-II指南和当前的临床证据进行评估.
主要成果:
- 血管内技术显示出越来越高的疗效和更广泛的采用对甲状腺疾病.
- 被覆盖的内血管重建显示出出色的技术成功和改善的穿透率.
- 与开放式手术相比,内血管方法提供了潜在的较低的术后死亡风险.
结论:
- 转向对主动脉疾病的内血管第一方法的转变得到了最近的技术进步和临床结果的支持.
- 血管内干预为开放性手术提供了可行的和有效的替代方案,无论病变的复杂性如何.
- 这种方法旨在改善患者的治疗结果,并减少PAD管理中的截肢率.
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