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大动脉内移植感染:诊断和管理
1Division of Vascular Surgery, Department of Surgery, Incheon Sejong Hospital, Incheon, Korea.
Vascular specialist international
|September 21, 2023
概括
大动脉内移植感染 (AEI) 是内血管动脉瘤修复 (EVAR) 后的一种严重并发症. 及时诊断和涉及手术切除,重建和抗生素的多学科方法对于成功治疗至关重要.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 医疗器械并发症 医疗器械并发症
背景情况:
- 大动脉内移植感染 (AEI) 是内血管动脉瘤修复 (EVAR) 后的一种罕见但严重的并发症.
- 临床表现非常不同,从轻微的症状到危及生命的败血症或大动脉破裂.
- 诊断依赖于临床发现,实验室检测,成像和大动脉移植感染协作管理 (MAGIC) 标准.
研究的目的:
- 审查大动脉内移植感染的诊断,管理和治疗结果.
- 强调在管理AEI时采用多学科方法的重要性.
- 讨论移植选项和保守的治疗策略.
主要方法:
- 对AEI的临床表现,诊断标准 (MAGIC) 和治疗方式的审查.
- 讨论手术技术,包括在现场重建与外解剖绕道相比.
- 分析移植材料,保守的管理,以及影响治疗结果的因素.
主要成果:
- 治疗包括移除受感染的内移植,大动脉重建 (通常在现场) 和抗菌疗法.
- 使用各种各样的移植 (生物,假肢),每种都有优缺点.
- 保守治疗是高风险患者没有丸的选择.
- 结果取决于细菌因素,患者状况 (例如,大动脉) 和医院护理.
结论:
- 为了最佳管理,AEI需要多学科的团队方法.
- 鉴于病情的严重程度,预防策略至关重要.
- 在移除受感染内移植物后,常常偏好实地重建而不是外解剖绕道.
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