在2023年的抵押网络概念
Suguru Ohira1, Steven L Lansman1, David Spielvogel1
1Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Annals of cardiothoracic surgery
|October 11, 2023
概括
广泛的大动脉手术可能导致脊髓缺血. 了解涉及多个动脉的附带网络概念,是防止在胸腔腹腔大动脉瘤修复过程中出现这种严重并发症的关键.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 人体解剖学 解剖学 解剖学
背景情况:
- 广泛的胸腔腹腔大动脉动脉瘤修复带来脊髓缺血的风险,影响患者的生存和生活质量.
- 这种并发症的病理生理学和预防策略需要充分理解.
- 亚当基维奇动脉传统上被认为是主要的细分输入,但这种观点正在演变.
研究的目的:
- 审查目前支持脊髓输液中附带网络概念的证据.
- 讨论在大动脉外科手术的背景下,对附带网络概念的应用.
- 突出认识到多个动脉输入对于维持脊髓血液流动的重要性.
主要方法:
- 对主动脉手术期间脊髓输液现有文献的综述.
- 格里普及其同事提出的抵押网络概念的分析.
- 检查解剖学和生理学证据,检查脊髓的附带循环.
主要成果:
- 附带网络概念强调了一个广泛的相互连接的血管综合体,支持脊髓输液.
- 这种网络涉及脊柱内,副脊柱,外周腔和副脊柱肌肉.
- 多个细分动脉输入 (肋间,腰部) 和主要动脉连接 (关节下,腹腔) 是至关重要的.
结论:
- 在广泛的大动脉修复期间,识别广泛的附带网络对于预防脊髓缺血至关重要.
- 多个输入的概念提供了比单个主要输入模型更全面的理解.
- 应用附带网络概念对于优化胸腔腹腔大动脉动脉瘤修复手术结果至关重要.
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