一项针对复杂的大动脉动脉瘤的非标签治疗的国家普查
Grayson S Pitcher1, Joedd H Biggs2, Anand Dayama3
1Division of Vascular Surgery, University of Rochester Medical Center, Rochester, NY.
Journal of vascular surgery
|June 21, 2024
概括
复杂的大动脉动脉瘤 (cAAs) 的非标签内血管修复是常见的,医生修改的内移植 (PMEGs) 是首选的技术. 这些程序的数据收集和报告是有限的,这凸显了需要一个国家协作数据库的需要.
科学领域:
- 血管外科 血管外科
- 医疗器械 医疗器械
- 干预心脏病学 干预心脏病学
背景情况:
- 复杂的大动脉动脉瘤 (cAAs) 的非标签内血管修复增加了,尽管FDA批准的设备有限.
- 目前的实践模式和国家销量没有得到充分的记录.
研究的目的:
- 为了在美国进行一项全国性的非标签内血管修复cAAs的普查.
- 了解当前的实践模式,包括技术和医生赞助的研究设备豁免 (PS-IDE).
主要方法:
- 一个电子调查分发给有经验的血管外科医生在cAAs的标签外修复.
- 有针对性的抽样确定了261名外科医生,其中98名 (38%的响应率) 完成了调查.
主要成果:
- 93%的受访者进行cAAs的非标签修复,医生修改的内移植 (PMEGs) 是最常见的技术 (70%可选,52%新兴).
- 在全国范围内,每年估计有1757个选择性和499个紧急/紧急病例进行.
- 参与质量倡议和数据收集的情况有限,有86%的人对国家数据库表示兴趣.
结论:
- 在目前的文献中,cAAs的非标签内血管修复不足.
- 医生修改的内脏移植是选择性和新兴复杂的大动脉动脉瘤修复的主要技术.
- 改进数据收集和标准化报告对于理解结果和推进治疗至关重要.
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