透皮与切断接入为内血管大动脉修复
Abdulmajeed Altoijry1, Sultan Alsheikh2, Tariq Alanezi3
1Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, 11322 Riyadh, Saudi Arabia. aaltoijry@ksu.edu.sa.
The heart surgery forum
|November 3, 2023
概括
穿皮腿部接入方法用于内血管大动脉修复是一种更快,可行的替代开放外科切割,导致更短的手术时间和住院时间. 与动脉直径的比率可以预测并发症风险.
科学领域:
- 血管外科 血管外科
- 血管内修复 血管内修复
- 手术接入技术 手术接入技术
背景情况:
- 胸腔和腹部大动脉动脉瘤需要内血管修复.
- 进入大腿动脉对于内血管大动脉修复至关重要.
- 通过皮肤与开放的外科切割途径进行比较对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较皮肤穿腿部接入与胸部/腹部内血管大动脉修复的开放外科切割的结果.
- 为了评估两个接入方法之间的操作持续时间,并发症率和死亡率.
主要方法:
- 对59名接受血管内主动脉修复的患者 (2015-2022) 的回顾性审查.
- 患者被分为皮肤通道或切割大腿部接入组.
- 人口统计数据,风险因素,手术持续时间,并发症/死亡率以及住院/ICU的比较.
主要成果:
- 穿皮治疗组 (59%) 的手术持续时间显著缩短 (141分钟对218分钟),住院时间显著缩短 (11.6天对21.5天).
- 穿皮治疗组中观察到更低的ICU入院率 (40%对66.7%).
- 阴茎动脉直径比≥0.74的与常见的阴茎动脉直径比与增加的并发症 (OR 12.0) 和死亡率 (OR 5.79) 风险有关.
结论:
- 穿皮腿部接入是一种节省时间和可行的替代手术切割,用于内血管大动脉修复.
- 较短的手术时间和住院时间与穿皮疗法有关.
- 骨架与普通大腿动脉直径的比例可能有助于在术前评估并发症和死亡率的风险.
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