相关实验视频
Updated: Jul 19, 2025

06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
386
在胸腔内血管大动脉修复期间或之后的逆行型A大动脉剖析:一个单一的中心16年的经验
Guo-Quan Wang1,2, Ya-Fei Qin1,2, Shuai-Tao Shi1,2
1Department of Vascular Surgery, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.
Frontiers in cardiovascular medicine
|August 7, 2023
概括
逆行型A大动脉解剖 (RTAD) 是胸内血管大动脉修复 (TEVAR) 后的一种罕见并发症. 适当的支架移植过大比例至关重要,以最大限度地降低RTAD风险.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 胸内血管大动脉修复 (TEVAR) 是对胸大动脉疾病的常见治疗方法.
- 逆行型A大动脉解剖 (RTAD) 是TEVAR的一种罕见但严重的并发症.
- 了解RTAD的发病率和风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了调查TEVAR后RTAD的发病率.
- 在接受TEVAR的患者中识别与RTAD相关的风险因素.
- 为在临床实践中预防RTAD提供见解.
主要方法:
- 从2004年1月到2019年12月接受TEVAR治疗的1688名患者的回顾性分析.
- 使用单变量和多重物流回归分析来确定RTAD的风险因素.
- 收集的数据包括患者人口统计,大动脉疾病类型,TEVAR手术细节和RTAD发生率.
主要成果:
- 整体RTAD发病率为1.1% (18/1,688),仅发生在B型大动脉剖析 (TBAD) 组中.
- 支架移植 (SG) 超大尺寸比率被确定为RTAD的一个重要风险因素.
- 在TEVAR之后的不同时间发生了RTAD,SG的近邻区域是常见的进入点.
结论:
- RTAD是一种罕见的,可能是TEVAR的灾难性并发症,发生在术前,术后早期和术后晚期.
- 保持适当的支架移植过大比例对于最小化RTAD的风险至关重要.
- 进一步的研究可能会探索RTAD的其他促成因素和预防策略.
相关概念视频
Aneurysm III: Interprofessional Care
10
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
10
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10
Aortic Regurgitation I: Introduction
12
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
12
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8

