动脉瘤修复后的血管移植感染:基于人口的研究
Hussam Tabaja1, Larry M Baddour2, Supavit Chesdachai1
1Division of Public Health, Infectious Diseases, and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings
|June 30, 2023
概括
动脉瘤修复后的血管移植感染 (VGI) 不常见,在内血管 (EVAR) 和开放式手术修复 (OSR) 后的发病率相似. 然而,VGI的死亡率很高,特别是在保守的管理下.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 血管移植感染 (VGI) 是动脉动脉瘤修复后的一个严重并发症.
- 了解VGI的发生率和结果对于患者管理至关重要.
研究的目的:
- 确定血管移植感染 (VGI) 的发生率,流行病学和结果.
- 为了比较内血管 (EVAR) 和开放外科修复 (OSR) 之间的VGI发生率.
主要方法:
- 对643名接受了708次动脉动脉瘤修复的成年患者 (2010-2020年) 的回顾性审查.
- 使用大动脉移植感染管理协作标准识别VGI.
- 平均随访时间为4.1年.
主要成果:
- 15名患者 (2.3%) 患有VGI,五年累计发病率为1.6%.
- 在EVAR (1.4%) 和OSR (2.0%) 之间,VGI发病率没有显著差异.
- 观察到高死亡率 (10/15人死亡),特别是在保守的管理下 (8/12).
结论:
- 动脉瘤修复后,VGI发病率较低,EVAR和OSR的发病率相似.
- VGI与高的全因死亡率有关.
- 患者队列有多种并发症,导致结果差.
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