实施B型大动脉剖析治疗策略后的大动脉结果,涉及大动脉
Ottavia Borghese1, Angelo Pisani2, Ana Lopez-Marco3
1Department of Cardiothoracic Surgery, St. Bartholomew's Hospital, London, UK; School Angio-Cardio-Thoracic Pathophysiology and Imaging, Sapienza University, Rome, Italy.
Annals of vascular surgery
|August 10, 2024
概括
非动脉瘤非细菌性 (NANB) 急性大动脉解剖 (AAD) 的治疗方法尚不清楚. 开放式手术,特别是冷大象干 (FET) 程序,可能会改善大动脉重塑和虚假光线血栓,与单独的最佳医疗治疗相比.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 胸部外科手术 胸部外科手术
背景情况:
- 非A非B (NANB) 急性大动脉解剖 (AAD) 是一种罕见但严重的疾病.
- 对于NANB AAD (B 1-2 D) 的最佳治疗策略尚未确立.
研究的目的:
- 评估NANB AAD (B 1-2 D) 的治疗策略的结果.
- 为了比较不同治疗方法之间的发病率,死亡率,再干预和大动脉重塑.
主要方法:
- 根据STROBE指南进行的回顾性观察研究.
- 对22名在2016年至2022年期间接受治疗的NANB AAD (B 1-2 D) 患者的分析.
- 最好的医疗治疗 (BMT) 和冷大象干 (FET) 程序之间的结果比较.
主要成果:
- 在BMT和FET组的整体住院死亡率为9.1%.
- 在FET组中,错误光线血栓的发生率 (100%与55.5%相比) 和在3区和4区的阳性大动脉重塑显著更高.
- 在BMT组中,由于大动脉破裂发生了一例死亡.
结论:
- 对NANB AAD的最佳治疗方法尚未确定.
- 医疗稳定之后的开放手术 (FET) 可以促进大动脉重塑和减少并发症.
- 在经验丰富的NANB AAD中心,FET是一个可行的选择.
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