一个单一中心的经验B型大动脉内壁血瘤
Xiaolu Hu1, Fan Yang2, Jitao Liu3
1School of Medicine, South China University of Technology, Guangzhou, China; Department of Cardiology, Guangdong Cardiovascular Institution, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Journal of vascular surgery
|June 28, 2024
概括
对B型内血瘤 (IMH) 的最佳医疗治疗 (BMT) 和干预治疗 (INT) 显示了类似的中期结果. INT减少了状突出 (ULP),但增加了手术风险,而 BMT需要监测ULP的进展.
科学领域:
- 血管外科 血管外科
- 心血管研究研究心血管研究
- 医疗干预 医疗干预
背景情况:
- B型室内血瘤 (IMH) 是一种严重的心血管疾病.
- 治疗选择包括最佳医疗治疗 (BMT) 和干预治疗 (INT).
- 对B型IMH的BMT与INT的比较结果尚未完全阐明.
研究的目的:
- 为了比较BMT和INT在B型IMH患者中的临床和成像结果.
- 为了评估两组治疗之间的死亡率,大动脉相关事件和成像发现.
主要方法:
- 一项单中心研究包括2015年2月至2021年2月连续195名B型IMH患者.
- 患者接受了BMT (n=115) 或INT (n=80) 的治疗.
- 主要终点是死亡率;次要终点包括通过CT血管学评估的临床 (例如,大动脉剖析,再干预) 和成像结果 (例如,大动脉破裂,状突出 (ULP)).
主要成果:
- 在 BMT 和 INT 组之间,所有原因的早期或中期死亡率没有显著差异.
- INT组的发育或扩大状突出 (ULPs) 的风险明显较低.
- 在INT组中,与手术相关的并发症的发生率较高,包括支架移植引起的新入口撕裂和内脏泄漏.
结论:
- 无论是 BMT 和 INT,对于 B 型 IMH 的中期临床结果都是相似的.
- INT可能会降低状突起 (ULP) 的风险,但会增加手术并发症的风险.
- 密切监测ULP进展是必不可少的,以BMT管理的患者.
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