帕杰特 - 施罗埃特综合征的管理:系统审查和元分析
Frank Hoexum1, Max Hoebink1, Hans M E Coveliers2
1Department of Vascular Surgery, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centres, Amsterdam, the Netherlands.
概括
导管定向血栓溶解加上第一个肋骨切除为帕杰特-施罗埃特综合征 (PSS) 提供了最好的结果. 这种方法导致96%的患者没有症状,显著优于PSS的其他治疗方法.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 基于证据的医学 基于证据的医学
背景情况:
- 帕杰特 - 施罗埃特综合征 (PSS) 的管理缺乏明确的共识.
- 最佳的治疗策略需要综合当前的临床证据.
- 本综述侧重于各种PSS管理方法的临床结果.
结论:
- 单独使用AC的非手术治疗导致46%的PSS患者的持续症状.
- CDT + FRR是PSS最有效的策略,产生高症状解决率.
- 虽然证据质量中等,但对治疗比较的证据确定性非常低.
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