在内血管动脉瘤修复期间内动脉中断的临床结果
Hyeon Ju Kim1, Deokbi Hwang1, Hyung-Kee Kim2
1Division of Vascular and Endovascular Surgery, Department of Surgery, Kyungpook National University Hospital, Daegu, Korea.
Vascular specialist international
|July 21, 2023
概括
在内血管动脉瘤修复 (EVAR) 期间内动脉 (IIA) 的中断可能导致部,但严重的缺血并发症很少见. 建议对IIA输液进行选择性保存.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 内血管动脉瘤修复 (EVAR) 是对腹部和门动脉动脉瘤的常见治疗方法.
- 内动脉 (IIA) 的参与很常见,并且在EVAR期间对其进行管理可能会影响临床结果.
研究的目的:
- 为了评估内动脉 (IIA) 在EVAR期间中断的临床结果.
- 为了确定IIA中断后缺血性并发症的危险因素.
主要方法:
- 在2006年至2022年期间接受EVAR的316名患者的回顾性评估.
- 对临床结果的分析,包括股音,缺血性大肠炎和脊髓缺血.
- 二元物流回归用于确定并发症的风险因素.
主要成果:
- 在IIA中断后,32.6%的患者出现了关节.
- 没有观察到缺血性结肠炎或脊髓缺血病例.
- 年龄≤80岁和孤立的门动脉动脉瘤与部音有关.
结论:
- 股音是EVAR期间IIA中断最常见的并发症.
- 严重的缺血并发症很少见,即使有双边IIA封闭.
- 建议选择性地使用辅助程序来保护IIA流量.
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