在甲状腺支架期间,动脉破裂的发生率和危险因素
KwangJin Lee1, Sungsin Cho1, Hyangkyoung Kim2
1Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
Vascular specialist international
|February 23, 2024
概括
在甲状腺支架 (AIS) 期间的动脉破裂发生在2.5%的患者中,较少的化病变和外部动脉支架被确定为危险因素. 被覆盖的支架有效地治疗了这些破裂.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内干预 血管内干预
背景情况:
- 大动脉封闭性疾病 (AIOD) 是一种常见的疾病,导致严重的四肢缺血症.
- 动脉支架 (AIS) 提供了优良的长期通透性,但存在门动脉破裂的风险.
- 了解AIS期间阴动脉破裂的发生率和危险因素对于患者的安全至关重要.
研究的目的:
- 为了确定在主动脉支架 (AIS) 过程中下动脉破裂的发生率.
- 在AIS期间识别与门动脉破裂相关的危险因素.
- 评估覆盖式支架 (CSs) 在治疗门动脉破裂方面的有效性.
主要方法:
- 在2009年至2021年期间,对242名新发AIOD患者进行了以AIS治疗的回顾性审查.
- 对血管图谱特征和手术结果的分析,不包括患有静脉静脉复缩的患者.
- 对自扩展支架 (SES),气球可扩展支架 (BES) 和覆盖支架 (CS) 的结果进行比较.
主要成果:
- 对AIS的程序成功率为100%.
- 动脉破裂发生在2.5%的患者中,仅在外动脉 (EIA) 中.
- 对EIA的支架和较少化的病变被确定为破裂的显著风险因素 (P=0.028).
- 所有的破裂都通过覆盖式支架 (CSs) 成功处理.
- 36个月的初级通透率为SES的87.7%,BES的88.4%,CS的100% .
结论:
- 在AIS期间动脉破裂的发生率为2.5%,EIA支架和较少化的病变是危险因素.
- 覆盖式支架 (CSs) 提供了一种可靠的解决方案,用于在AIS期间管理腹腔动脉破裂.
- 与SES和BES相比,CS在门动脉中表现出优越的长期通透性.
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