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胸腔内血管大动脉修复后的大动脉部扩张的影响
Wael Ahmad1, Paula Weidler1, Oroa Salem1
1Department of Vascular and Endovascular Surgery- University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Journal of vascular surgery
|July 16, 2023
概括
大动脉部扩张在胸内血管大动脉修复 (TEVAR) 后很常见. 仔细管理,包括监测和干预,对于长期成功和最佳患者结果至关重要.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 主动脉疾病 主动脉疾病
背景情况:
- 胸内血管大动脉修复 (TEVAR) 是对胸大动脉动脉瘤的治疗方法.
- 大动脉部扩张可以发生在TEVAR后,可能会影响长期结果.
研究的目的:
- 评估TEVAR后大动脉部扩张的发生率,原因和临床意义.
- 评估大动脉部扩张的进展及其与不良事件的关联.
主要方法:
- 对37名接受TEVAR治疗登陆区II和III动脉瘤的患者进行了回顾性观察性研究.
- 随访包括30天后的计算机断层扫描和手术后至少1年的血管造影.
- 主要终点:近道大动脉扩张 (≥5毫米或≥10%的直径增加);次要终点:囊生长,迁移,内,重新干预.
主要成果:
- 在TEVAR后观察到,近端大动脉直径显著增加.
- 免于≥5mm/10%的部生长率为1年81%,2年70%和3年65%.
- 第三种类型的大动脉门和初始直径<36毫米与扩张和重新干预的增加有关.
结论:
- 靠近大动脉扩张是TEVAR后的一个常见和渐进的并发症.
- 对大动脉部扩张的管理策略需要仔细考虑,以优化结果.
- 监督,二次干预和公开转换是关键的管理选择.
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