感染性内心炎中的脏动脉感染性动脉瘤 - 一项观察性研究和全面的文献综述
Monique Boukobza1, Richard Raffoul2, Lionel Rebibo3
1Department of Radiology, Bichat-Claude Bernard University Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Annals of vascular surgery
|November 2, 2023
概括
感染性内心炎中的脏动脉瘤很少见,通常是无声的. 通过计算机断层扫描扫描和内血管治疗的早期检测是预防破裂的关键.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 放射学 放射学是指放射学
背景情况:
- 传染性内心炎 (IE) 可能导致罕见的并发症,如脏动脉动脉瘤 (SAA).
- 了解IE中SAA的特征和结果对于患者管理至关重要.
研究的目的:
- 确定感染性内心炎 (IE) 患者动脉动脉瘤 (SAA) 的患病率,临床和放射性特征,相关因素,治疗和结果.
主要方法:
- 从2005年到2020年,对474名确定的IE患者进行了回顾性审查.
- 通过腹部计算机断层扫描血管学 (CTA) 证实了SAA的诊断.
主要成果:
- 六名患者 (1.3%) 患有SAA,主要是囊和内或内.
- 链球菌 spp. 链球菌 spp. 这些病例很常见,所有病例都涉及左侧本地门.
- 在一半的患者中,SAA在临床上是无声的,症状包括腹痛或发烧复发.
结论:
- 与IE相关的SAA很少见,可以无症状,并且发生在各种位置.
- 腹部CTA有效检测静音SAA,可以通过内血管治疗安全管理.
- 由于SAA的潜在延迟形成,可能需要对CTA进行后续检查.
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