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感染性大动脉动脉瘤内血管治疗的结果 - 一项多中心回顾性研究
Chih-Chun Lee1, Dong-Yi Chen2, Yi-Hsin Chan2
1Department of Medical Education, Chang Gung Memorial Hospital.
概括
腹部感染性主动脉动脉瘤 (INAA) 的内血管修复比胸部INAA更高的住院死亡率. 然而,胸部INAA的长期存活率较差,慢性病和感染是关键因素.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 大动脉动脉瘤管理管理
背景情况:
- 感染性原生大动脉动脉瘤 (INAA) 在台湾很常见.
- 这项研究比较了胸部和腹部INAAs的内血管修复结果.
研究的目的:
- 为了比较胸部与腹部INAAs的内血管修复的住院和长期结果.
- 为了确定INAA患者死亡的风险因素.
主要方法:
- 多中心回顾性队列研究,对因纳斯药物进行内血管修复的患者进行 (2001-2018).
- 倾向性得分匹配被用于调整混因素.
- 对住院和长期结果的分析,包括死亡率和死亡原因.
主要成果:
- 总共包括82名患者 (39名胸部,43名腹部);50%的患者出现破裂.
- 沙门氏菌 spp. 沙门氏菌 是最常见的病原体.
- 住院死亡率为18.3%;胸部INAAs在住院死亡和破裂相关死亡风险较低.
- 长期随访 (平均2.5年) 显示,胸部INAA的全因死亡风险更高.
- 慢性病 (CKD) 与死亡率增加有关.
结论:
- 腹部INAA的内血管修复与胸部INAA相比,与更高的住院死亡率有关.
- 胸部INAA的长期结果更糟糕,CKD和感染是死亡的重要预测因素.
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