症状上肢外周动脉疾病与糟糕的结果和广泛的病因相关
Guillaume Armengol1, Guillaume Goudot2,3,4,5, Sébastien Miranda1,6
1Internal Medicine Department, CHU de Rouen, Rouen, France.
Angiology
|December 14, 2023
概括
有症状的上肢外周动脉疾病 (sUE-PAD) 是罕见但严重的,具有严重的肢体损伤和死亡风险. 彻底的病因评估对于管理这种情况至关重要.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 与下肢疾病相比,症状上肢外周动脉疾病 (sUE-PAD) 尚未得到充分研究.
- 了解sUE-PAD病因和结果对于患者管理至关重要.
研究的目的:
- 描述症状上肢外周动脉疾病的病因和2年后的结果.
- 为了将sUE-PAD特征与下肢外周动脉疾病进行比较.
主要方法:
- 在法国两家三级医院进行观察调查.
- 收集了ICD-10 I74.2代码的患者的人口统计数据,病因,治疗和治疗结果.
- 在两年内收集的后续数据.
主要成果:
- 确诊了181名患者 (53%是男性,平均年龄为55岁).
- 常见的病因包括低关节综合征 (13.8%),心血管栓塞 (13.3%),动脉瘤 (12.7%) 和结缔组织疾病 (10.5%).
- 2年的结果:13.3%的截肢率,21.3%的持续症状,10%的整体死亡率.
结论:
- sUE-PAD不是良性的,具有显著的发病率和死亡率.
- sUE-PAD与LE-PAD不同,更频繁地影响年轻患者和女性,病因不同.
- 需要彻底的病因评估,并与严重的预后有关.
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