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复杂的大动脉动脉瘤的紧急和紧急修复,使用现成的分支器件

Petroula Nana¹, Konstantinos Spanos¹, Tomasz Jakimowicz²

¹German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center UKE Hamburg, Hamburg, Germany.

Frontiers in cardiovascular medicine

|October 9, 2023

概括

在紧急和紧急情况下,t-Branch内移植为复杂的大动脉动脉瘤提供了安全有效的解决方案. 它表现出高的技术成功和对死亡率和脊髓缺血 (SCI) 的有利结果.

科学领域:

血管外科血管外科
血管内干预血管内干预
大动脉动脉瘤修复修复

背景情况:

复杂的大动脉动脉瘤,包括破裂和有症状的病例,带来了重大管理挑战.
用现成的内脏移植进行内血管修复是开放外科手术的新兴替代方案.
对于这些复杂的病例,使用t-Branch多分支胸腔腹腔内移植.

研究的目的:

评估与t-分支内移植治疗的复杂大动脉动脉瘤紧急和突发病例的外科和后续结果.
评估技术成功,30天死亡率,重大不良事件 (MAE) 和脊髓缺血 (SCI) 率.

主要方法:

从2014年1月到2022年11月,在两个大动脉中心使用t-Branch装置管理的连续紧急和紧急病例的前性分析.
患者被分类为紧急 (破裂动脉瘤) 或紧急 (动脉瘤>90mm或有症状).
关键结果包括技术成功,30天死亡率,MAE和SCI.

主要成果:

包括225名患者;73%是紧急病例,平均动脉瘤直径为109mm.
技术上的成功率高达97.8%.
三十天死亡率为17.8%,MAE为30.6%,SCI为14.7% (4.8%的). 与紧急病例相比,紧急病例的30天死亡率和MAE较高,但技术成功率和SCI率相似.

结论:

t-Branch内移植是一种有效和安全的选择,用于管理紧急和新出现的复杂大动脉动脉瘤.
该设备实现了高的技术成功率.
关于死亡率和脊髓缺血的有希望的早期结果支持其用于复杂的大动脉动脉瘤修复.

关键词:

有分支的设备有分支的设备复杂的内血管修复复杂的内血管修复.在外面的自己.破裂的破裂的这是一个有症状的症状.这是一个非常紧急的紧急情况.

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