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在中期随访期间,TREO大动脉内移植显示出高层动脉瘤囊回归
Baqir J Kedwai1, Joshua T Geiger1, Sam Najjar1
1Division of Vascular Surgery, University of Rochester Medical Center, Rochester, New York.
The Journal of surgical research
|August 22, 2024
概括
在中期随访中,与非TREO移植相比,TREO内移植显示出优异的腹腔大动脉动脉瘤囊回归. 这种改善的囊回归发生在没有增加内脏泄漏,重新干预或死亡率的情况下.
科学领域:
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
- 大动脉动脉瘤治疗方法
背景情况:
- 动脉瘤囊回归对于血管内动脉瘤修复 (EVAR) 后的长期结果至关重要.
- 对比不同的内移植类型对于优化EVAR手术至关重要.
- 在促进囊回归方面,TREO内移植的有效性需要进一步的研究.
研究的目的:
- 为了比较TREO和非TREO内移植之间的腹腔大动脉动脉瘤 (AAA) 囊回归.
- 评估中期结果,包括囊回归,死亡率,内泄和重新干预率.
- 测试TREO内移植在EVAR后24个月实现更大的囊回归的假设.
主要方法:
- 追溯分析2015年至2024年期间执行的EVAR程序.
- 与年龄,性别,抗凝血和吸烟状况相匹配的TREO内移植.与非TREO内移植相匹配.
- 主要结局:12个月和24个月的AAA囊回归;次要结局:死亡率,内泄和重新干预率.
主要成果:
- 总共分析了21个TREO和68个匹配的非TREO内脏移植.
- 尽管TREO队列的初始囊袋大小更大,但平均囊袋减少显着更大 (-12.6毫米对比 -7.83毫米,P=0.039).
- TREO支架移植与1年囊回归的增加有关 (HR=2.42,P=0.019),在不同组之间,内脏泄漏,死亡率和重新干预的比例相似.
结论:
- 与非TREO器件相比,TREO内移植显示了与非TREO器件相比,中期腹腔大动脉动脉瘤囊回归的改善.
- 使用TREO内移植增强的囊回归似乎不会影响内泄,死亡率或重新干预的安全性.
- 这些发现表明,TREO内移植可能在AAA管理中提供更好的结果.
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