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在B型大动脉剖析治疗中讨论大动脉覆盖:全面的范围审查
Daniele Bissacco1, Jasper F de Kort2,3, Anna Ramella3
1Department of Clinical Sciences and Community Health, University of Milan, 20148 Milan, Italy.
Journal of clinical medicine
|July 13, 2024
概括
在B型大动脉剖析 (TBAD) 中确定胸内血管大动脉修复 (TEVAR) 的最佳内移植长度仍然不清楚. 需要进一步的研究,以制定改善患者治疗结果的指导方针.
科学领域:
- 心血管外科心血管外科
- 医疗成像医学成像
- 血管内血管治疗 血管内血管治疗
背景情况:
- B型大动脉剖析 (TBAD) 管理通常涉及胸内血管大动脉修复 (TEVAR).
- 在TBAD中,TEVAR的最佳远端着陆区 (DLZ) 和内移植覆盖长度尚未得到很好的定义.
- 建立适当的覆盖时间对于长期结果和预防并发症至关重要.
研究的目的:
- 调查影响在TEVAR治疗TBAD期间确定最佳内移植覆盖长度的因素.
- 强调远端着陆区 (DLZ) 在TEVAR规划TBAD中的重要性.
- 审查当前的文献,以提供基于证据的关于内移植长度选择的建议.
主要方法:
- 采用了系统文献审查方法.
- 在MEDLINE,Scopus和Web of Science数据库中搜索相关研究.
- 遵守PRISMA-ScR (系统性审查的首选报告项目和范围审查的元分析扩展) 声明.
主要成果:
- 多种变量影响TBAD TEVAR中的内移植覆盖长度.
- 这些因素包括患者的基线特征,TBAD特异性特征,内置假体类型和术后移植行为.
- 目前还没有确定的数据来确定最优的内移植长度.
结论:
- 缺乏关于TBAD最佳TEVAR长度的可靠数据.
- 建议报告大动脉覆盖率的百分比.
- 推进计算研究对于优化TEVAR接受TBAD患者的术后结果至关重要.
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