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烟内血管动脉瘤修复程序的长期结果,用于复杂的腹腔大动脉病理

Paolo Verlato¹, Leonardo Foresti¹, Trijntje Bloemert-Tuin²

¹Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands; Postgraduate School of Vascular Surgery, University of Milan, Milan, Italy.

Journal of vascular surgery

|April 11, 2024

概括

烟内血管大动脉修复 (chEVAR) 在高风险患者的复杂腹部大动脉动脉瘤中显示出长期的安全性和有效性. 这项研究为chEVAR提供了有价值的长期结果数据,证明了可接受的结果.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学
医疗技术医疗技术医学技术

背景情况:

复杂的腹腔大动脉瘤 (AAA) 对内血管修复构成重大挑战.
烟内血管大动脉修复 (chEVAR) 是不适合开放修复或窗口内血管动脉瘤修复 (FEVAR) 的患者的替代方案.
对复杂AAA的chEVAR的长期结果需要进一步调查.

研究的目的:

更新之前的烟内血管大动脉修复 (chEVAR) 的经验.
评估chEVAR在复杂腹部大动脉动脉瘤的长期安全性和有效性.
以有限的现有文献为程序提供关于长期结果的数据.

主要方法:

一个单一中心的回顾性队列研究包括51名从2009年到2019年接受chEVAR的患者.
如果患者不适合进行开放式手术修复或FEVAR,则被选中.
卡普兰-梅尔分析评估了整体存活率,动脉瘤相关死亡率,再干预,目标血管不稳定性和Ia型内泄漏.

主要成果:

平均随访时间为48.6个月 (范围为0-136个月).
估计的七年生存率为18.3%±6.0%,无动脉瘤相关死亡率为88.6%±4.9%.
七年无IA型内泄漏的情况为91.8%±3.9%,目标血管不稳定性的情况为91.5%±4.1%.

结论:

七年后的结果证实了chEVAR的长期安全性和有效性,对于具有大量AAA的高风险患者.
这项研究为chEVAR提供了迄今为止最长的随访数据.
在精选的复杂AAA病例中,chEVAR显示可接受的长期良好结果.

关键词:

腹腔大动脉动脉瘤是什么切瓦尔 - 切瓦尔一个烟烟.烟接种器的植入血管内动脉瘤修复血管内动脉瘤修复

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