相关实验视频
Updated: Jul 6, 2026
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
14.4K
在无症状大动脉瘤的内血管治疗中应对挑战:十年的比较分析
Khamin Chinsakchai1, Natcha Ketklin1, Kiattisak Hongku1
1Division of Vascular Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Journal of clinical medicine
|November 25, 2023
概括
涉及内动脉的腹腔大脑血管动脉瘤的内血管修复存在挑战. 虽然建议保留内动脉以预防盆腔缺血,但支装置可能比钟底技术提供更好的长期结果.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 动脉瘤修复 动脉瘤修复
背景情况:
- 在涉及内动脉 (IIA) 时,腹腔大动脉瘤 (AAIA) 的内血管治疗可能是复杂的.
- 内动脉栓塞 (IIAE) 与外动脉延伸 (EE) 有关的风险是盆腔缺血.
- 保存IIA的技术,比如钟底技术 (BBT) 和阴茎分支装置 (IBD),是替代方案.
研究的目的:
- 为了比较涉及IIA的AAIA三种内血管方法的结果:BBT,IIAE + EE和IBD.
- 评估在AAIA修复中保存IIA与栓塞IIA的有效性和安全性.
- 评估不同内血管策略的并发症和长期结果.
主要方法:
- 从2010年至2019年对174名无症状AAIA患者的回顾性分析.
- 根据IIA管理 (非IIAE与IIAE) 将患者分组.
- 与BBT (106个四肢),IIAE + EE (113个四肢) 和IBD (32个四肢) 的比较.
主要成果:
- 两组之间30天死亡率或手术内四肢并发症没有显著差异.
- 在双边IIAE + EE中,关节缩和休息疼痛与皮肤亡的发病率较高.
- 与IIAE + EE和IBD相比,BBT组在10年内无需 iliac 肢体重新干预的比例明显较低.
结论:
- 在IIAE和非IIAE组之间,早期和晚期死亡率相似.
- 建议保留IIA以减轻盆腔缺血并发症.
- 对AAIA来说,IBD策略可能更好,因为与BBT相比,再干预率更低.
相关概念视频
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...