在急性A型剖析中臂与大腿动脉管:国际多中心数据
Malak Elbatarny1, Santi Trimarchi2, Amit Korach3
1Division of Cardiac Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
The Annals of thoracic surgery
|March 8, 2024
概括
轴突管提供稳定的急性A型剖析 (ATAD) 呈现,但更具侵入性. 腹和大腿管策略在ATAD修复中显示出类似的早期死亡率和并发症率.
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:
- 对于急性A型剖析 (ATAD) 的注射策略缺乏标准化的协议.
- 这项研究调查了在ATAD修复中腹与大腿动脉管的比较结果.
研究的目的:
- 在接受急性A型剖析修复的患者中,比较腹与大腿动脉管的疗效和安全性.
- 为了确定两种注策略之间的早期死亡率和主要并发症的潜在差异.
主要方法:
- 从国际急性大动脉剖析注册 (IRAD) 队列 (1996-2021) 的2145名患者的回顾性分析.
- 在关 (n=1106) 和大腿骨 (n=1039) 管组之间的结果比较.
- 对终点的评估包括早期死亡率,神经,呼吸道,并发症,perfusion和tamponade.
主要成果:
- 在住院死亡率上没有显著差异 (15%的股与14%的股骨).
- 在两组之间,中风,内脏缺血,吸管,呼吸不全,昏迷和脊髓缺血的发病率相似.
- 轴心管与更多的全主动脉门手术和门节约性根部置换有关.
结论:
- 对于更稳定的ATAD表现来说,可能会优先选择尾管,尽管它涉及到更广泛的程序.
- 在统计调整后,臂和大腿管都显示了可比的早期死亡率和ATAD修复中的重大并发症率.
相关概念视频
Arteries of the Upper Limbs
3.3K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
3.3K
Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
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...
589


