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对复杂的大动脉动脉瘤进行医生修改的内移植治疗的中期结果
Tsuyoshi Shibata1, Hiroshi Mitsuoka2, Yutaka Iba1
1Department of Cardiovascular Surgery, Sapporo Medical University, 291, Minami 1-jo Nishi 16-chome, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.
Interdisciplinary cardiovascular and thoracic surgery
|March 15, 2024
概括
对大动脉动脉瘤进行医生修改的内移植显示了可接受的中期结果. 副脉和胸腹动脉动脉瘤有不同的术后结果,后者与更高的风险相关.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 大动脉动脉瘤治疗方法
背景情况:
- 副脉和胸腹动脉动脉瘤 (TAAA) 带来了复杂的治疗挑战.
- 医生修改的内脏移植为这些复杂的大动脉病理提供了量身定制的方法.
研究的目的:
- 评估医生修改内脏移植的早期和中期临床结果.
- 为了比较尾和胸腔腹腔大动脉动脉瘤之间的结果.
主要方法:
- 在日本的10个中心,共有121名副或TAAA患者接受了医生修改的内移植.
- 分析了早期和中期术后结果的数据,包括并发症和死亡率.
主要成果:
- 住院死亡率为5.8%. 在TAAA中,IIIc型内泄漏的发生率更高 (22.0%),而不是在上 (8.1%).
- 在3年后,尾动脉瘤显著更好地脱离了全因死亡率 (83.3%对54.1%) 和重新干预 (89.3%对65.6%).
- 破裂,TAAA和IIIc型内脏泄漏是死亡的风险因素.
结论:
- 医生修改的内脏移植提供了临床上可接受的中期结果,用于上腺和TAAA.
- 副鼻腔和TAAA是不同的实体,具有不同的术后结果和风险.
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