结核动脉动脉瘤的自然史 结核动脉动脉瘤的自然史
Molly Ratner1, C Austen Hartwell2, Jason Zhang1
1Division of Vascular and Endovascular Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY, USA.
Vascular
|April 16, 2024
概括
大多数乳动脉动脉瘤 (CAA) 保持稳定,没有破裂或症状. 70岁以下的年龄可能会增加生长风险,支持对较小的CAA进行保守管理.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
背景情况:
- 动脉动脉瘤 (CAA) 是一种罕见的血管疾病.
- 关于未经处理的CAA的自然史的数据有限.
- 现有的研究往往侧重于需要干预的症状或大动脉瘤.
研究的目的:
- 为了记录胆固醇动脉动脉瘤 (CAAs) 的自然史.
- 了解未经处理的CAAs的行为和生长模式.
- 评估影响CAA进展的因素.
主要方法:
- 通过CT成像 (2015-2019) 诊断出CAA的患者的回顾性分析.
- 包括放射学,人口统计和临床随访数据.
- 主要终点:CAAs的平均增长率.
主要成果:
- 包括76名患者;86.8%是男性,平均年龄为69.8岁.
- 平均CAA直径为15.4毫米;76.3%的囊.
- 35.6%的CAA在平均随访时间25.2个月内扩大;没有报告破裂或症状. 年龄<70岁与生长风险相关.
结论:
- 大多数CAA表现出稳定的大小和良性行为.
- 在临床随访期间没有观察到任何症状或破裂.
- 根据发现,对CAA<2厘米的保守管理似乎是适当的.
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