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在0区内,医生为内血管大动脉门修复修改了窗口内移植

Qinshu Wen¹, Yepeng Zhang¹, Jun Wei²

¹Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

|April 19, 2024

概括

医生修改的窗体内移植 (PMEGs) 显示了对0区大动脉门修复的有效早期结果. 虽然中风和再干预率需要注意,但PMEG在专业中心提供了一个可行的选择.

科学领域:

血管外科血管外科
血管内干预血管内干预
大动脉疾病管理管理

背景情况:

在0区内内血管大动脉门修复存在独特的挑战.
医生修改的窗体内移植 (PMEGs) 提供了一个量身定制的方法.

研究的目的:

评估PMEGs用于0区内血管大动脉门修复的早期和中期临床结果.
评估技术成功,死亡率,不良事件和长期稳定性.

主要方法:

54名患者进行了回顾性多中心研究 (2018-2022年),54名患者接受了使用PMEG进行的0区大动脉门修复.
评估技术成功,30天死亡率,重大不良事件,二次干预和生存率.

主要成果:

高技术成功率 (98%) 与94.2%的整体存活率在一年.
主要不良事件包括中风 (7%) 和逆行型A剖析 (6%).
19%的患者需要重新干预;一年后没有二次干预的患者为81.8%.

结论:

PMEGs在0区大动脉门修复方面表现出有效性,可接受的早期结果.
脑卒中,逆行型A解剖和再干预率需要进一步调查.
需要长期数据和更大的队列来确认安全性和耐用性.

关键词:

大动脉门的门大动脉门病理学血管内主动脉门修复医生修改的内脏移植.零区0区0区0区

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