在急性A型大动脉解剖中,在FET手术后后背虚影和
Jinhua Wei1, Zhan Hu1, Wei Wang1
1Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.
The Annals of thoracic surgery
|February 8, 2024
概括
患有急性A型大动脉解剖的患者接受冷大象手术,面临残的高风险. 在T9-L2段之间有大量的后部虚假光线 (PFL) 显著增加了这种风险.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 大动脉外科手术
背景情况:
- 手术后的是急性A型大动脉剖析 (ATAAD) 的冷象 (FET) 程序的一个显著并发症.
- 在进行FET手术之前,识别患有的高风险患者至关重要.
研究的目的:
- 在接受FET的ATAAD患者中,确定后部虚假光线 (PFL) 数量与术后的风险之间的关联.
- 为了确定这个患者队列中残肢的预测因素.
主要方法:
- 一项回顾性研究包括544名ATAAD患者,他们在2013年1月至2018年12月期间接受了FET手术.
- 在T9和L2之间的PFL段数被计算为每个患者.
- 基于PFL计数,分析了住院结果,包括残肢和长期存活率.
主要成果:
- 患有3个或更多PFL段 (高PFL组) 的患者患上术后的发病率显著更高 (7.3%对1.9%,P = .006).
- 高PFL独立地与术后相关 (OR,3.812;95% CI,1.378-10.550;P = .010).
- 中度低温循环停止 (≥23.0°C) 是对的保护因素 (OR,0.112;95% CI,0.023-0.535;P = .006).
结论:
- 患有ATAAD和T9和L2之间的大量PFL (≥3段) 的患者在FET手术后有明显增加的术后的风险.
- 术前对PFL片段的评估可以帮助对FET手术的风险分层.
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