创伤性大动脉剖析作为一个独特的临床实体:单一中心回顾性研究
Qingwei Gang1, Yu Lun1, Liwei Pang1
1Department of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Journal of clinical medicine
|December 23, 2023
概括
创伤性大动脉剖析 (TAD) 与非创伤性大动脉剖析 (NTAD) 不同,呈现出更局部化的病变. 在胸内血管大动脉修复后,TAD患者在中长期表现更好.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
背景情况:
- 将创伤性大动脉剖析 (TAD) 与非创伤性大动脉剖析 (NTAD) 进行比较,对于优化患者管理至关重要.
- 斯坦福B型大动脉剖析在创伤性和非创伤性病因方面都提出了独特的挑战.
研究的目的:
- 为了比较斯坦福B型创伤性大动脉剖析 (TAD) 与非创伤性大动脉剖析 (NTAD) 的临床特征,治疗和结果.
- 评估创伤性大动脉解剖的最佳管理策略.
主要方法:
- 对接受胸内血管大动脉修复 (TEVAR) 进行斯坦福B型大动脉剖析的患者的回顾性分析.
- 根据创伤史,患者被分为TAD (n=65) 和NTAD (n=288) 组.
- 基线特征,实验室指标,成像,手术程序和后续结果的比较.
主要成果:
- 与NTAD相比,TAD患者年轻 (50岁相比55岁),高血压率较低 (20%相比71.18%).
- 在TAD组中,大动脉剖析的长度显著缩短 (30毫米对344毫米).
- TAD组经历了较短的手术前持续时间 (7 vs. 11天) 和较少的中长期并发症后TEVAR.
结论:
- 创伤性大动脉剖析 (TAD) 从临床上不同于非创伤性大动脉剖析 (NTAD).
- TAD通常涉及更多局部的大动脉病变.
- 与NTAD相比,TAD患者在使用TEVAR后表现出中长期改善的结果.
相关概念视频
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm 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...


