用左静脉转移和内血管支架来治疗破子综合征
Sabit Sarikaya1, Ozge Altas1, Mustafa Mert Ozgur1
1Department of Cardiovascular Surgery, Kosuyolu Heart Training and Research Hospital, Istanbul, Turkey.
Annals of vascular surgery
|January 31, 2024
概括
用左静脉 (LRV) 转移和LRV支架进行的"破子综合征"治疗显示出良好的结果. 手术和支架程序都是安全有效的,用于管理这种罕见的疾病.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 破子综合征是一种罕见的血管疾病,由左静脉 (LRV) 在大动脉和上层中枢动脉之间陷入引起.
- 症状包括左侧疼痛,出血和蛋白尿,通常需要对无法忍受的症状进行干预.
研究的目的:
- 审查和评估LRV转移 (外科手术) 与LRV支架 (内血管) 的结果,以治疗破子综合征.
- 为了比较一系列手术和支架程序的疗效和安全性,优先选择手术干预.
主要方法:
- 2019年7月至2023年10月期间连续治疗的破子综合征患者的回顾性审查.
- 患者被分为手术 (LRV转移) 和支架组,转移优先.
- 主要终点包括发病率和死亡率;次要终点包括并发症,通病率,再干预率和症状解决.
主要成果:
- 19名患者 (100%女性) 接受了LRV转换 (n=14) 或支架 (n=5).
- 没有发生重大并发症或死亡. 大多数患者的症状都消失了 (例如,89.5%的患者有侧面疼痛).
- 一年和三年初级通透率分别为87%和80%,转移率 (91%,81%) 比支架率 (75%) 高.
结论:
- 无论是LRV转移还是内血管支架都是对破子综合征的安全有效的初级治疗方法.
- 程序的选择取决于患者的因素和症状严重程度,两者都提供了良好的结果.
- 对于无法解释的侧侧疼痛和出血症,应考虑破子综合征,这需要在治疗开始前进行放射和症状相关性.
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