在腹腔内血管大动脉修复后的晚期开放转换的指示和结果
Daniel Becker1, Manuela Riggi1, Thomas Rudolf Wyss2
1Department of Vascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Annals of vascular surgery
|May 29, 2024
概括
血管内主动脉修复 (EVAR) 后的晚期开放转换是一种低死亡率的安全选择. 终身监测对于获得最佳结果和防止出现转换至关重要.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 大动脉动脉瘤修复修复
背景情况:
- 血管内大动脉修复 (EVAR) 是用于下大动脉动脉瘤的标准.
- 进化的内移植技术和并发症管理.
- 尽管EVAR的进步,但开放的外科转换可能是必要的.
研究的目的:
- 在EVAR之后分析开放转换的指示.
- 评估开放转换的技术方面和结果.
- 评估不同内移植类型和几代人的安全性和有效性.
主要方法:
- 回顾性单中心研究 (2004-2020年).
- 包括接受EVAR和随后的开放转换 (>1个月后EVAR) 的患者.
- 不包括:移植感染转换.移植感染转换. 分析了指示,技术,30天死亡率,重新干预和随访死亡率.
主要成果:
- 31名患者接受了开放转换 (平均年龄75岁,男性94%) 在EVAR后平均55个月后.
- 适用于:移植迁移/输入漏洞 (52%),囊扩张/输入漏洞II型 (26%).
- 30天死亡率为3% (1/31);5年生存率为84%.
结论:
- 晚期开放转换是对EVAR并发症的安全和有价值的治疗方法.
- 在可选和紧急环境中安全执行,早期死亡率低.
- 终身监测和及时干预对于最佳的EVAR结果至关重要.
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