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Luis Ángel Suárez González¹, Iñigo Lozano Martínez-Luengas¹, Pablo Del Canto Peruyera¹

¹Hospital Universitario de Cabueñes, Gijón, España.

Jornal vascular brasileiro

|March 15, 2024

概括

前末血管修复 (EVAR) 动脉侧分支的栓塞,包括下层中枢动脉和腰椎动脉,是一种安全的程序. 并发症的发生率非常低,6.2%的患者出现小问题,0.82%的患者出现缺血性结肠炎等重大问题.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
医疗器械安全医疗器械安全

背景情况:

内血管腹腔大动脉瘤修复 (EVAR) 是一种常见的手术.
大动脉侧枝的栓塞有时在EVAR之前进行.
关于这种特定的栓塞技术的安全数据需要合成.

研究的目的:

系统地审查大动脉侧枝的EVAR前栓塞的安全性.
为了确定与此程序相关的并发症的发生率.
为了评估血栓塞的风险概况,下层介质动脉和腰椎动脉.

主要方法:

系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
在MEDLINE和DIMENSION数据库中搜索了2011年至2021年间发表的研究.
分析的9项包括着重于482名患者的栓塞相关并发症的研究.

主要成果:

总共有482名患者接受了手术前的大动脉侧枝栓塞.
30名患者 (6.2%) 发生轻微并发症.
主要并发症包括4名患者 (0.82%) 的缺血性结肠炎,手术后有2例死亡.

结论:

在EVAR之前进行大动脉侧枝栓塞似乎是一种安全的干预措施.
该程序显示,轻微和重大并发症的发生率非常低.
这支持在精选的EVAR病例中继续使用栓塞.

关键词:

埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.血栓塞栓是什么意思血栓塞栓是什么意思下层中枢动脉下层中枢动脉腰部动脉腰部动脉腰部动脉

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