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甲型大动脉剖析的内血管治疗:使用重建的时间到事件数据进行系统审查和元分析

Konstantinos S Mylonas^1,2, Ioannis Zoupas^2,3, Panagiotis T Tasoudis³

¹Department of Cardiac Surgery, Onassis Cardiac Surgery Center, 176 74 Athens, Greece.

Journal of clinical medicine

|November 25, 2023

概括

胸内血管大动脉修复 (TEVAR) 是可行的选择患者与A型大动脉解剖 (TAAD) 不适合开放手术. 需要进一步的研究来确定其在TAAD治疗中的长期作用.

科学领域:

心血管外科心血管外科
血管内干预血管内干预
大动脉疾病管理管理

背景情况:

开放式手术是A型大动脉解剖 (TAAD) 的黄金标准.
胸内血管大动脉修复 (TEVAR) 是针对高度精选的患者考虑的.
这项研究评估了TAAD患者的TEVAR结果,这些患者不适合进行开放式手术.

研究的目的:

评估TEVAR在TAAD患者中的可行性和结果.
评估不适合开放修复的个体的内血管治疗.
在这个队列中分析与TEVAR相关的生存率和并发症率.

主要方法:

对PubMed,Scopus和Cochrane数据库进行符合PRISMA的系统审查.
包括20项符合条件的研究,包括311名接受TAADTEVAR治疗的患者.
使用卡普兰-梅尔曲线分析的时间到事件数据.

主要成果:

平均年龄为60.7岁;75.48%是男性.
转换为开放性手术 (0.44%),技术故障 (0.22%) 和中风 (0.1%) 的低率.
一年,三年和五年生存率分别为87.15%,82.52%和82.31%.

结论:

对于那些无法接受开放手术的精心挑选的TAAD患者来说,TEVAR是一种可行的选择.
长期数据和克服技术挑战对于定义TEVAR的作用至关重要.
需要进一步的研究来确定TAAD修复中的内血管治疗.

关键词:

在TAAD中,我们可以使用TAAD.德瓦尔 (TEVAR) 是一个这是内血管内血管的内血管.一种类型的甲动脉剖析.

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