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治疗腹腔大动脉支架移植感染的不同方法的策略和结果
Mengqiang Zhang1, Zhipeng Chen1, Chen Tang1
1Department of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Frontiers in cardiovascular medicine
|August 23, 2023
概括
腹腔大动脉支架移植感染的手术策略显示出有希望的短期成功. 在治疗中使用的不同材料取得了令人满意的结果,在这个患者队列中没有30天死亡率.
科学领域:
- 血管外科 血管外科
- 传染病管理 传染病管理
背景情况:
- 腹腔大动脉支架移植感染是血管内大动脉修复 (EVAR) 后的一个严重并发症.
- 有效的治疗策略对于患者的治疗结果至关重要.
研究的目的:
- 评估腹腔大动脉支架移植感染的各种治疗方法的策略和短期结果.
- 评估不同移植材料在治疗这些感染方面的有效性.
主要方法:
- 追溯分析2021年11月至2022年12月期间连续六名因支架移植感染而接受治疗的患者.
- 患者经历了使用各种材料的手术干预:人工血管,牛心周和自身的大静脉.
主要成果:
- 所有六名患者在手术期间都取得了即时的技术成功.
- 30天死亡率为0%.
- 在平均4个月的随访期间,一名患者需要因静脉出血而重新手术,导致因缺血而导致双边四肢截肢;所有患者都幸存下来.
结论:
- 各种手术材料和方法在治疗腹腔大动脉支架移植感染方面显示出令人满意的短期结果.
- 迅速的外科干预可以在处理这些复杂病例时带来积极的结果.
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