中央大动脉与关动脉对大动脉门手术的通道化
Megan M Chung1, Kerry Filtz2, Michael Simpson1
1Division of Cardiothoracic and Vascular Surgery, New York-Presbyterian Hospital, Columbia University Irving Medical Center, New York, NY.
JTCVS open
|July 10, 2023
概括
中央大动脉管和关动脉管在大动脉管手术中显示出类似的安全性. 这项研究发现,这两种方法在患者康复结果上没有显著差异.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 血管外科 血管外科
背景情况:
- 中央大动脉管越来越多地用于大动脉门手术.
- 证据比较中央大动脉管与关动脉管的证据是不确定的.
研究的目的:
- 在接受大动脉门手术的患者中,比较中央大动脉管与关动脉管的术后结果.
- 为了评估这两种管技术的安全性和有效性.
主要方法:
- 764名接受大动脉门手术的患者 (2005-2020年) 的回顾性审查.
- 主要结局:未能实现无事件恢复 (死亡,中风,出血,长时间通风,功能衰竭,感染,起器/ICD植入).
- 用于控制基线差异的倾向性得分匹配;用于动脉瘤手术的子组分析.
主要成果:
- 在匹配后,和大动脉组之间没有明显的无事件恢复 (33%对35%),住院死亡率 (5.3%对5.3%) 或中风 (8.3%对5.3%) 的差异.
- 手术部位感染在关动脉组更频繁 (4.8%对0.4%).
- 在动脉瘤子组中观察到类似的结果.
结论:
- 中央大动脉管显示出与关动脉管在大动脉管手术中的安全性相似.
- 两种技术之间没有发现重大术后并发症的显著差异.
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