在44名患者的内部分支复合EVAR的单中心初始经验
Marvin Kapalla1, Albert Busch1, Brigitta Lutz1
1Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus Dresden at the Technical University Dresden, Dresden, Germany.
Frontiers in cardiovascular medicine
|July 3, 2023
概括
内部分支的大动脉支架移植在复杂的大动脉病理方面显示出高的技术成功率 (100%). 早期的结果是可以接受的,一年生存率为95%和中等的再干预率.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 大动脉疾病管理管理
背景情况:
- 内分支主动脉支架移植为复杂的主动脉病理提供了广泛的应用.
- 稳定的桥梁支架密封是其他内血管技术的关键优势.
研究的目的:
- 评估定制和现货内分枝内移植的早期结果.
- 评估混合型患者队列中复杂的大动脉疾病的可行性.
主要方法:
- 在44名接受内分支大动脉支架移植 (iBEVAR) 治疗的患者中进行了回顾性单心研究 (2019-2022年).
- 包括定制设备 (CMD) 和现货 (E-inside) 移植,至少有四个内部分支.
- 主要终点:技术和临床成功.
主要成果:
- 100%的技术成功和99%的目标船成功.
- 没有住院死亡率;6.8%永久性.
- 一年生存率95%,分支通透率98%;再干预率13.6%.
结论:
- 内分支主动脉支架移植是复杂主动脉病理 (选择性和紧急) 的可行选择.
- 观察到高技术成功和可接受的短期结果.
- 适度的再干预率与现有平台相比较;长期结果需要进一步评估.
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