对植入腹腔大动脉虚假光线阻塞器的评估 虚假光线
Mickael Palmier1, Justine Mougin2, Jeremy Bendavid1
1Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, Université Paris Saclay, Le Plessis Robinson, France.
Journal of vascular surgery
|July 5, 2023
概括
在剖析后胸腔腹腔动脉瘤的内血管修复 (F/BEVAR) 期间,腹腔大动脉的虚假光阻塞 (FLO) 显示出有利的早期结果,包括高的技术成功率和低的并发症率.
科学领域:
- 血管外科 血管外科
- 血管内修复 血管内修复
- 大动脉动脉瘤管理管理
背景情况:
- 切割后的胸腔腹腔动脉瘤需要复杂的内血管修复.
- 窗体和/或分支内血管修复 (F/BEVAR) 是一个关键的治疗方式.
- 整合虚假光线阻塞 (FLO) 对于最佳结果至关重要.
研究的目的:
- 为了评估腹腔大动脉FLO的有效性和安全性,在接受F/BEVAR治疗切割后胸腔腹腔动脉瘤的患者中.
- 分析早期结果,包括技术成功,临床成功和并发症率.
主要方法:
- 预期数据的多中心回顾分析 (2019年4月至2022年12月).
- 包括用F/BEVAR和腹部FLO治疗的患者.
- 接下来是"加强流行病学观察性研究报告" (STROBE) 准则.
主要成果:
- 23名患者接受了F/BEVAR和腹部FLO治疗;91.3%的人先前接受了内血管治疗.
- 技术和临床成功率为95.7%;腹部FLO技术成功率为78.3%.
- 没有术后死亡率;脊髓缺血的一个病例 (4.3%),部分恢复. 中位数ICU和整体住院时间:1天和7.5天.
结论:
- 在F/BEVAR治疗切割后胸腔腹腔动脉瘤的过程中,腹腔大动脉FLO与有利的结果有关.
- 提供了一个分期治疗选择,脊髓缺血率低,虚假光线封闭和重塑率高.
- 需要更长的随访和更大的队列来证实这些有前途的早期发现.
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