关节底动脉狭窄和阻塞的内血管治疗:单中心回顾性研究
Lam Van Nut1, Pham Xuan Vinh2, Nguyen Lam Vuong3
1Department of Vascular Surgery, Cho Ray Hospital, Ho Chi Minh City, VNM.
Cureus
|October 9, 2023
概括
关节下动脉狭窄和闭塞的内血管治疗是安全有效的,显示出高的成功率和通透率. 这种方法被推作为一线治疗经验丰富的血管中心.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内干预 血管内干预
背景情况:
- 关节底动脉狭窄和闭塞是常见的上肢动脉疾病,主要是由动脉样硬化引起的.
- 内血管治疗为开放性手术提供了潜在的替代方案,但支持数据仍然有限.
- 这项研究评估了越南三级血管中心对关节下动脉病变的内血管程序.
研究的目的:
- 评估内血管治疗关节下动脉狭窄和闭塞的安全性和有效性.
- 确定这些程序的短期和长期结果和通透率.
- 提供支持内血管治疗作为主要治疗选择的证据.
主要方法:
- 针对症状性关节下动脉狭窄或闭塞进行内血管治疗的患者的回顾性分析 (2013年10月 - 2022年4月).
- 评估临床特征,程序细节和结果.
- 评估短期和长期结果,包括并发症率和通透性.
主要成果:
- 包括25名患有动脉样硬化风险因素的患者 (平均年龄为56.8岁).
- 内血管手术取得了96%的技术成功,并发症率为8%.
- 随访时间中位数为43个月,三年通透率为92%.
结论:
- 关节下动脉狭窄/闭塞的内血管治疗是安全有效的.
- 优秀的长期通透率支持穿皮再血管化作为一线治疗.
- 需要对更大的队列进行进一步的研究,并进行延长的随访.
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