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多层流量调节器在大动脉动脉瘤中的长期结果
Karlo Pintaric1,2, Lucka Boltezar3,4, Nejc Umek5
1Clinical Institute of Radiology, University Medical Center Ljubljana, Slovenia.
Radiology and oncology
|April 13, 2024
概括
多层流量调节器 (MFMs) 通过稳定血液动力学,对高风险的大动脉动脉瘤患者有希望. 然而,它们并不能持续减少动脉瘤的大小,因此需要长期监测.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 在高风险患者中研究了使用多层流量调节器 (MFMs) 对大动脉动脉瘤的内血管治疗疗效.
- 患者不适合传统的手术或内血管治疗.
研究的目的:
- 评估MFMs在高风险患者的大动脉动脉瘤治疗中的疗效.
- 评估MFM治疗后的血液动力学变化和动脉瘤大小改变.
主要方法:
- 从2011-2019年对17名高风险患者进行了回顾性观察性研究.
- 进行MFM植入,然后进行CT血管造影以进行后续检查.
- 动脉瘤体积,流量量,直径,技术成功和并发症的分析.
主要成果:
- 100%的技术成功率与17.6%的30天并发症率.
- 17名患者中有11名患者表现出动脉瘤流量体积减少 (中位数减少8%).
- 动脉瘤大小没有持续的减少;体积 (46毫升) 和直径 (18毫米) 的中位数增加.
结论:
- 对于高风险的大动脉动脉瘤患者来说,MFMs提供了潜在的替代方案,稳定了血液动力学.
- 在防止动脉瘤扩张方面,MFM的有效性有限.
- 长期监测对于接受MFMs治疗的患者至关重要.
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