复杂的大动脉病理的综合内血管治疗
Levent Mavioglu1, Hakki Zafer Iscan1, Goktan Askin1
1Department of Cardiovascular Surgery, Ankara City Hospital, Cankaya, Turkey.
The Thoracic and cardiovascular surgeon
|July 18, 2023
概括
胸腔和腹腔大动脉病理的同时内血管修复提供了一个快速,不那么侵入性的选择,具有良好的早期和中期结果. 这种方法是适合患者阶段或混合疗法的可行替代方案.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 血管内干预 血管内干预
背景情况:
- 多分段大动脉病理带来了重大治疗挑战.
- 开放式和内血管方法都有明显的优点和缺点.
- 同时修复策略正在探索复杂的大动脉疾病.
研究的目的:
- 评估同时进行血管内胸部和腹部大动脉修复的早期和中期结果.
- 评估这种结合内血管方法的可行性和安全性.
- 将这种策略与分阶段或混合修复方法进行比较.
主要方法:
- 对16名患者的回顾性分析,这些患者同时接受胸前大动脉病理和腹腔大动脉动脉瘤 (iAAA) 的内血管修复.
- 由单一心血管外科医生团队在2016年1月至2021年1月期间执行的手术.
- 收集关于技术成功,发病率,死亡率和需要二次干预的数据.
主要成果:
- 100%的技术成功率,没有观察到过早死亡.
- 平均随访时间为21.85个月;第一年生存率为84.6%.
- 两名患者需要二次干预;没有动脉瘤相关的死亡率.
- 短暂的重症监护室停留和住院时间长度被记录在内.
结论:
- 同时内血管修复是一种安全有效的方法,用于复杂的多段主动脉病理.
- 这一策略为分阶段和混合疗法提供了一个快速,不那么侵入性的替代方案.
- 建议仔细监测对比诱导的神经病变,植入后综合征和脊髓缺血.
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