自发隔离的乳房动脉剖析的管理
Mauricio Gonzalez-Urquijo1, Jose Francisco Vargas1, Leopoldo Marine1
1Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Annals of vascular surgery
|February 2, 2024
概括
自发的隔离性乳动脉剖析 (SICAD) 是罕见的,但通常可以通过保守的治疗来控制. 高血压经常在患有动脉动脉瘤扩张的患者中观察到.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 自发隔离性腹腔动脉解剖 (SICAD) 是一种不常见的疾病,报告病例系列有限.
- 了解其临床特征和治疗结果对于有效的患者管理至关重要.
研究的目的:
- 描述被诊断患有SICAD的患者的临床特征和治疗结果.
- 分析SICAD保守治疗与干预治疗的结果.
主要方法:
- 一个智利学术医院在2003年至2023年期间诊断出SICAD的27名患者的回顾性审查.
- 保守的管理包括抗血小板药,抗凝固药,或两者兼而有之. 在一个案例中使用了内血管治疗.
- 动脉直径被测量; >12.5毫米定义了动脉瘤扩张.
主要成果:
- 该队列包括27名患者 (77.8%是男性),平均年龄为51岁.
- 超过一半 (51.8%) 呈现出动脉瘤扩张 (中位径13.5毫米).
- 保守治疗在重塑结果上没有显著差异 (P=0.729). 高血压在动脉瘤扩张的患者中明显更常见 (87.5%对12.5%,P=0.016).
结论:
- 保守的治疗,包括抗血小板和抗凝药,对于大多数SICAD病例是有效的.
- 由于SICAD而导致动脉瘤扩张的患者中,高血压是一种显著的并发症.
- 进一步的研究可能会为复杂的SICAD病例阐明最佳管理策略.
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