胸内血管大动脉修复后的器官缺血
Marco Franchin1, Francesca Mauri1, Federico Fontana2
1Vascular Surgery-Department of Medicine and Surgery, University of Insubria School of Medicine and ASST Settelaghi University Teaching Hospital, Varese, Italy.
概括
胸内血管大动脉修复 (TEVAR) 后的器官缺血并发症与大动脉动脉瘤和形大动脉有关. 这些并发症增加死亡率,住院时间,并减少TEVAR后的长期存活率.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 胸内血管大动脉修复 (TEVAR) 是对大动脉疾病的一种微创手术.
- 器官缺血性并发症是已知的风险,但其发生率和影响需要进一步评估.
研究的目的:
- 为了确定TEVAR后器官缺血性并发症的发生率和结果.
- 确定与这些并发症相关的预测因素.
主要方法:
- 一个多中心,回顾性,观察性队列研究.
- 分析了2001年至2022年间接受TEVAR治疗的255名患者的数据.
- 对术后器官缺血症并发症,早期生存率 (≤30天) 和长期结果的评估.
主要成果:
- 器官缺血并发症发生在11.4%的患者中,包括脑血管,脊髓和内脏事件.
- 大动脉动脉瘤 (OR:6.6) 和粗的大动脉 (OR:12.1) 是显著的预测因素.
- 患有并发症的患者的早期死亡率较高 (20.7%与6.2%相比),住院时间较长,生存率降低.
结论:
- 大动脉动脉瘤和形的大动脉预测TEVAR后器官缺血性并发症.
- 这些并发症很重要,导致术后死亡率增加,住院时间延长,长期生存率降低.
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