用于下肢绕道手术的静脉静脉移植的短期结果
Atsushi Guntani1, Sho Yamashita1, Shinsuke Mii1
1Department of Vascular Surgery, Saiseikai Yahata General Hospital, Kitakyushu, Fukuoka, Japan.
Annals of vascular diseases
|October 2, 2023
概括
静脉静脉移植在其他选择无法使用时,在下肢旁路手术中显示出有希望的结果. 这些植入物在3年内实现了70%的初级和100%的二级通透性,没有任何重大并发症.
科学领域:
- 血管外科 血管外科
- 再生医学是一种再生医学.
背景情况:
- 顺静脉通常是绕道移植的首选.
- 由于血栓堵塞和动脉瘤破裂的风险,人们通常会避免静脉.
- 关于使用静脉瘤用于下肢旁路术的临床结果的数据有限.
研究的目的:
- 评估使用静脉静脉移植用于下肢旁路的疗效和安全性.
- 为了确定可接受的通透率是否可以通过静脉导管实现.
主要方法:
- 对前性收集的数据进行了回顾性分析.
- 在2017年6月至2020年5月期间,使用静脉静脉移植的下肢旁路手术在9个四肢上进行.
主要成果:
- 在随访期间没有观察到早期的移植失败或主要并发症,如闭塞或动脉瘤扩张.
- 静脉静脉移植的初级通透率为70.0%,三年后的二次通透率为100%.
结论:
- 静脉静脉移植的重大并发症发生率似乎与传统的沙静脉移植相比相当.
- 静脉静脉移植可以成为下肢旁路的可行选择,当合适的自身静脉稀缺时.
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