治疗常见阴动脉动脉瘤的不同内血管模式的结果,单中心研究
Ahmed M Morshed1, Mohammed Farag2, Khalid A Mowafy2
1Faculty of Medicine, Mansoura University - Royal Free London Foundation Trust, London, UK.
Vascular
|July 31, 2023
概括
动脉瘤是用三个内血管方法来治疗的. 阴茎分支器件 (IBD) 显示出更好的结果,而卷轴和覆盖技术增加了缺血事件.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 动脉瘤治疗 动脉瘤治疗
背景情况:
- 动脉瘤影响10%的腹腔大动脉动脉瘤 (AAA) 患者.
- 内血管大动脉动脉瘤修复 (EVAR) 包括三种阴道动脉瘤的策略:内阴道动脉封闭 (卷轴和盖),阴道分支装置 (IBD) 整合和钟底四肢延伸.
- 评估这些策略的结果对于患者管理至关重要.
研究的目的:
- 为了比较EVAR期间三种内血管治疗动脉瘤治疗策略的结果.
- 确定最有效的策略,以改善短期和长期患者的治疗结果.
主要方法:
- 一个结合的前性和后性队列研究.
- 收集的数据包括人口统计,程序细节和成像.
- 患者被分为四组:下分支,底,卷轴和盖,以及标准治疗的四肢.
主要成果:
- 分析了69名患者 (平均年龄为78岁) 的137个肢体.
- 钟底技术显示了更高的IB型内漏病发病率的趋势.
- 卷轴和覆盖技术与较少的内脏泄漏有关,但显著更多的缺血事件 (部,肠道缺血症).
结论:
- 虽然统计学意义受到样本大小的限制,但IBD似乎为腹动脉瘤提供了最佳的短期和长期结果.
- 钟底技术可能会增加IB型内皮漏洞风险.
- 卷轴和覆盖技术带来更高的缺血并发症风险.
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