是否TEVAR是一种有效的方法来预防A型大动脉剖开手术后的并发症? 一个系统的审查
Nikolaos Schizas1,2, Georgia Nazou3, Ilias Samiotis4
14th Cardiac Surgery Department, Hygeia Hospital, 151 23 Marousi, Greece.
Healthcare (Basel, Switzerland)
|July 13, 2024
概括
胸内血管大动脉修复 (TEVAR) 在大动脉剖析A型 (AD) 手术后是安全的,并改善了大动脉重塑. 需要进一步的指导方针来澄清其预防性使用和对大动脉相关并发症的选择标准.
科学领域:
- 心血管外科心血管外科
- 血管内干预 血管内干预
- 大动脉疾病管理管理
背景情况:
- 大动脉剖析A型 (AD) 治疗后残留的虚假光线与阻塞,破裂,动脉瘤形成和剖析扩张等并发症有关.
- 胸内血管大动脉修复 (TEVAR) 是作为一种减轻这些治疗后并发症的策略.
研究的目的:
- 系统地审查和分析TEVAR在先前的AD治疗后的实施.
- 在这个患者队列中调查与TEVAR相关的指示,方法,临床结果和大动脉重塑.
主要方法:
- 从MEDLINE,SCIENCE DIRECT,GOOGLE SCHOLAR和OVID数据库中发布的数据进行系统审查.
- 分析了1410篇文章,其中9项研究符合纳入标准,共157名患者.
- 评估大动脉重塑参数,包括直径,真/假流明尺寸和虚假流明血栓形成/通透度.
主要成果:
- 大多数患者 (84.7%) 在3区接受了TEVAR,而没有腹膜下延伸.
- 总体死亡率为12.7%,中风率为2.8%.
- 虚假光线血栓发生在65.9%的患者中,再干预率为18.7%.
结论:
- 在AD手术后,TEVAR是常见的选择方法,尽管它的确切指示仍然不清楚.
- 该程序证明了安全性,并促进大动脉重塑,可接受的再干预率.
- 建议制定最终准则,以确定TEVAR作为预防措施的好处,并确定选择标准.
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