道-EVAR的中期结果
Bahadır Aytekin1, Serkan Mola1, Gökay Deniz1
1Department of Cardiovascular Surgery, Ankara Bilkent City Hospital, 06800 Ankara, Turkey.
Reviews in cardiovascular medicine
|July 30, 2024
概括
道技术提供了一个安全有效的解决方案,用于内血管动脉瘤修复在患有宽大动脉子的患者. 这种混合方法显示出出色的中期结果,使其成为复杂案件的有价值的选择.
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:
- 漏斗技术是一种混合内移植组件,用于胸部和腹部大动脉.
- 对于那些无法实现足够超大小的脆弱患者来说,它是有益的,因为下大动脉子> 34毫米.
研究的目的:
- 评估道内血管动脉瘤修复 (EVAR) 技术的优缺点.
- 为了评估在此过程中使用60毫米长的胸部内移植器的疗效.
主要方法:
- 对22名患有高并发症的虚弱患者进行了回顾性研究,他们接受了道-EVAR.
- 在紧急和可选的情况下使用60毫米Lifetech Ankura胸部内移植器.
- 主要终点:技术上的成功,早期死亡/发病率. 二级终点:晚期结果,如内泄,迁移,囊缩.
主要成果:
- 100%的技术成功,没有早期死亡或发病率.
- 平均随访时间为32.8个月,没有显示出内孔,迁移或部/囊扩大.
- 发生了三起晚期死亡,但没有一个与动脉瘤有关.
结论:
- 根据中期结果,道-EVAR对患有大脑下大动脉宽 (> 34毫米) 的患者有效和安全.
- 血管外科医生应考虑使用这种技术来治疗有宽大动脉子的患者.
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