亲近无名和常见 Carotid 动脉狭窄的开放逆行支架
Marvin Kapalla1, Albert Busch1, Steffen Wolk1
1Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University of Dresden-TU Dresden, 01307 Dresden, Germany.
Journal of personalized medicine
|March 28, 2024
概括
对于无名动脉 (IA) 或常见动脉 (CCA) 狭窄的开放逆行支架是安全的,早期中风风险较低. 然而,持续监测至关重要,因为存在很高的静脉静脉复缩率.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 脑血管疾病 脑血管疾病
背景情况:
- 有限证据表明无名动脉 (IA) 或常见动脉 (CCA) 狭窄的开放逆行支架.
- 这些程序被怀疑具有高风险的中风和死亡.
研究的目的:
- 评估混合程序的结果,包括IA或CCA狭窄的开放逆行支架.
- 评估这种治疗方法的安全性和有效性.
主要方法:
- 进行了一项回顾性,单心研究.
- 包括在2016年至2023年间通过手术切割进行近端IA和CCA狭窄的逆行支架的患者.
- 程序与或没有并发性动脉内关节切除术 (CEA) 进行.
主要成果:
- 33名患者接受了治疗,其中67%的患者接受了CCA的支架,33%的患者接受了IA狭窄.
- 61%的人有同步的ipsilateral CEA用于双重病变.
- 没有观察到30天死亡率;术后中风率为3%,完全康复.
- 在32个月的随访中,发现了3例晚期死亡 (9.1%) 和1例有症状的支架封闭.
- 15.2%的患者需要重新干预,以恢复.
结论:
- 开放式逆行式支架用于近端IA或CCA狭窄,有或没有CEA用于合病变,在早期不良事件较少的情况下是安全的.
- 持续的随访是必不可少的,因为显著的静脉静脉复缩率.
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