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在糖果插头后进行开放和内血管再干预,B型虚假光线栓塞,大动脉剖析
Diletta Loschi1, Annarita Santoro1, Enrico Rinaldi1
1"Vita-Salute" University, Scientific Institute H. San Raffaele, Milan, Italy.
Journal of vascular surgery
|August 12, 2023
概括
慢性乙型大动脉解剖的糖果插头 (CP) 技术显示出希望,但需要仔细监测. 由于初级失败或退化,人们注意到大量的重新干预,需要终身监测.
科学领域:
- 心血管外科心血管外科
- 血管内干预 血管内干预
- 大动脉疾病管理管理
背景情况:
- 慢性B型大动脉剖析往往涉及到持续的虚假光线 (FL) 流动.
- 糖果插头 (CP) 技术是FL治疗的内血管方法,具有有前途的早期结果.
研究的目的:
- 报告CP植入后B型大动脉剖析的重新干预的结果.
- 识别故障机制和重新干预的原因.
主要方法:
- 对33名接受胸内血管动脉瘤修复和CP植入的患者 (2016-2022) 的回顾性分析.
- 关于初级和二级干预措施的前性数据收集,包括CT血管造影.
- 评估再干预类型,结果和故障机制.
主要成果:
- 23名患者 (69.7%) 实现了FL血栓形成和大动脉稳定.
- 10名患者 (30.3%) 由于初级失败 (4) 或随后的退化/并发症 (6) 需要重新干预.
- 重新干预包括5次开放式和5次内血管手术,其中1例在医院死亡,2例脊髓缺血.
结论:
- 这种CP技术是安全和有效的,但与显著的一次大动脉再干预率相关.
- 重新干预源于初级CP衰竭或晚期动脉瘤退行.
- 由于潜在的并发症,对使用CP技术治疗的患者进行终身监测至关重要.
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