相关实验视频
Updated: Jul 25, 2025

06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
396
在B型大动脉剖析的胸内血管大动脉修复后影响远端虚假光线膨胀的因素
Qian-Hui Tang1, Jing Chen1, Zhen Long1
1Department of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Heliyon
|June 29, 2023
概括
马凡综合症,慢性肺炎和初级撕裂大小是影响胸内血管大动脉修复 (TEVAR) 后远端虚假光线扩大的关键因素,用于B型大动脉剖析.
科学领域:
- 心血管外科心血管外科
- 血管生物学 血管生物学
- 医疗成像医学成像
背景情况:
- B型大动脉剖析带来并发症的风险.
- 胸内血管大动脉修复 (TEVAR) 是一种常见的治疗方法.
- 远端虚假膜扩大 (DFLE) 是TEVAR后的一个潜在并发症.
研究的目的:
- 确定在B型大动脉剖析中TEVAR后预测远端虚假光线扩大的因素.
- 分析患者特征,剖析形态和DFLE之间的关联.
主要方法:
- 对335名接受TEVAR治疗B型大动脉剖析的患者 (2008-2022) 的回顾性分析.
- 根据CTA.患者被分为远端大动脉细分扩大 (DSAE) 和非DSAE组.
- 二元逻辑回归用于确定DFLE的独立预测因子.
主要成果:
- 85名患者 (25.4%) 发生了DSAE.
- 在两组之间观察到马凡综合症,COPD,随访时间,撕裂数量/大小和剖析长度的显著差异.
- 马凡综合症,COPD和初级撕裂大小独立预测了DFLE.
结论:
- 马凡综合症,慢性肺炎和初级撕裂大小是TEVAR后远端虚假光线扩张的显著预测因素.
- 了解这些因素可以有助于风险分层和患者管理.
- 进一步的研究可能会探索针对高风险患者的有针对性的干预措施.
相关概念视频
Aneurysm III: Interprofessional Care
12
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
12
Aneurysm I: Introduction
16
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
16
Aneurysm II: Clinical Manifestations and Diagnostic Studies
11
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
11
Aneurysm IV: Nursing Management
11
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
11
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
33
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
33

