[放射性动脉在老年患者的全动脉冠状动脉再血管化中的应用]
Haibing Liu1, Bailang Chen, Yao Chen
1Department of Cardiovascular Surgery, the University of Hong Kong Shenzhen Hospital, Shenzhen 518040, Guangdong, China. Corresponding author: Wei Minxin,
在全动脉冠状动脉复血管化 (TAR) 中使用放射性动脉对于老年患者是安全有效的. 术前超声波评估和优化解剖切除改善了结果,并发症与年轻患者相比没有显著差异.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 老年心脏病学 老年心脏病学
背景情况:
- 整体动脉冠状动脉再血管 (TAR) 提供长期益处,但需要合适的动脉导管.
- 辐射动脉越来越多地被用作TAR中的管道.
- 关于放射性动脉在接受TAR的老年患者中的应用和结果的数据有限.
研究的目的:
- 评估使用放射性动脉在接受全动脉冠状动脉再血管化 (TAR) 的老年患者中的应用经验和临床结果.
- 在这个人群中评估放射性动脉对TAR的术前超声波评估的安全性和可靠性.
主要方法:
- 对接受ART的101名患者的回顾性分析,分为≥65岁和<65岁的组.
- 放射性动脉参数 (血液流量,直径,内脏完整性) 的术前超声波评估和艾伦测试.
- 术后冠状动脉CT血管图 (CTA) 和临床随访时间长达20个月.
主要成果:
- 没有观察到住院死亡或术后心血管事件.
- 放射性动脉封闭发生在4名患者中;在随访期间,100%的存活率没有主要的不良心血管和脑血管事件 (MACCE).
- 在老年和年轻患者群体之间,在术后并发症或随访终点上没有显著差异.
结论:
- 辐射动脉与内部乳腺动脉相结合,可安全可靠地在老年患者中用于TAR.
- 优化手术前评估和绕道解剖切除技术,可以在TAR中获得有利的早期结果.
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