对未切割的上升性大动脉疾病进行最小侵入性内血管修复:系统性审查
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Weixue Huo1, Mengwei He1, Xianhao Bao1
1Department of Vascular Surgery, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, China.
Emergency medicine international
|September 28, 2023
概括
血管内修复在未经切割的上升大动脉疾病中表现出很高的成功率,成功率为99.05%. 需要进一步的研究来证实其安全性和有效性.
科学领域:
- 心血管外科心血管外科
- 血管内血管治疗 血管内血管治疗
- 大动脉疾病管理管理
背景情况:
- 上升的大动脉疾病,不包括剖析,带来了重大的临床挑战.
- 传统的开放式修复带来了相当大的发病率和死亡率.
- 内血管技术提供了一个潜在的不那么侵入性的替代方案.
研究的目的:
- 评估内血管修复对非切割的上升大动脉疾病的疗效和结果.
- 在文献综述中分析程序技术,并发症和成功率.
- 在这种新兴的治疗模式中确定未来研究领域.
主要方法:
- 在PubMed,Embase和SciELO数据库中的系统文献搜索 (2007年1月~2023年7月).
- 包括56个病例报告和7个观察性研究,不包括A型大动脉剖析.
- 分析了105名患有各种非剖析上升大动脉疾病的患者.
主要成果:
- 观察到高技术成功率为99.05% (104/105名患者).
- 常见的并发症包括内 (10.48%) 和中风 (5.71%).
- 早期死亡率为2.86% (3/105名患者),很少需要转换为开放手术.
结论:
- 血管内修复是选择非切割的上升大动脉疾病的可行选择.
- 虽然有希望,但需要进一步的研究来确定长期的安全性和有效性.
- 改进技术和设备开发可能会进一步改善结果.
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