用敌对的部解剖学治疗腹腔大动脉动脉瘤的挑战:概述
Alex Houser1, Camilo Martinez1, Apostolos Tassiopoulos2
1Division of Vascular Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY 11794, USA.
Journal of clinical medicine
|April 9, 2024
概括
敌对的大动脉部解剖学复杂化了内血管腹腔大动脉动脉瘤修复 (EVAR). 本综述概述了先进的内血管技术和改善EVAR耐用性和在具有挑战性的病例患者存活的结果.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 主动脉动脉瘤疾病 主动脉动脉瘤疾病
背景情况:
- 敌对的大动脉部解剖学对内血管腹腔大动脉动脉瘤修复 (EVAR) 提出了重大挑战.
- 这种解剖学可以导致近端密封区并发症,减少EVAR耐用性,增加动脉瘤相关死亡风险.
- 现有的内血管技术和移植选择提供了潜在的解决方案,但直接的比较数据有限.
研究的目的:
- 提供敌对大动脉部解剖学概述及其对EVAR结果的影响.
- 审查当前的治疗方式及其相关的结果,对EVAR在敌对大动脉部的患者.
- 突出多种敌对解剖特征所带来的复杂性和决策挑战.
主要方法:
- 关于敌对大动脉部解剖学和EVAR的简短文献综述.
- 对治疗策略的分析,包括内移植选择和先进的内血管技术.
- 在挑战大动脉部解剖学的背景下,评估报告的结果和并发症.
主要成果:
- 各种内血管技术和移植选择旨在减轻与敌对的大动脉子相关的风险.
- 每种技术都有不同的优势和局限性.
- 缺乏直接的前性比较试验阻碍了基于证据的最终建议.
结论:
- 敌对的大动脉部解剖学需要仔细考虑内血管修复策略.
- 先进的内血管技术和适当的移植选择对于优化这些患者的EVAR结果至关重要.
- 需要进一步进行高质量的比较研究,以指导敌对的大动脉部解剖学中EVAR的最佳治疗决策.
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