十年来,医生修改了内脏移植的医生
Andrew P Sanders1, Jorge Gomez-Mayorga1, Mohit K Manchella1
1Department of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Journal of vascular surgery
|August 24, 2024
概括
医生修改的内脏移植 (PMEGs) 显示出改善的结果和与标准的Zenith fenestrated (ZFEN) 移植相比的结果,用于复杂的大动脉修复. 这表明PMEGs对于患有内脏部位疾病的高风险患者来说是一个至关重要的,不断发展的选择.
科学领域:
- 血管外科 血管外科
- 血管内修复 血管内修复
- 大动脉动脉瘤治疗方法
背景情况:
- 医生修改的内脏移植 (PMEGs) 扩展了内血管修复的范围,超出了下主动脉.
- 对于患有内脏部分疾病的高风险患者来说,PMEGs至关重要.
研究的目的:
- 介绍11年来PMEG的机构经验.
- 评估手术特征和术后结果的变化.
- 为了将PMEG结果与Zenith fenestrated (ZFEN) 移植进行比较.
主要方法:
- 对PMEGs从2012-2023年进行的回顾性研究.
- 包括调查设备豁免 (IDE) 试验中的案例.
- 将PMEG结果与ZFEN移植用于类似的大动脉病理的结果进行比较.
主要成果:
- PMEG的操作特征有所改善,光镜检查时间缩短,内分泌泄漏发生.
- 对于PMEGs的术后结果保持稳定,死亡率为4.9%.
- 在死亡率,脊髓缺血,心脏病发作,呼吸衰竭和透析使用方面,PMEG显示出与ZFEN移植相似的结果.
结论:
- 医生的经验和技术进步改善了PMEG的结果.
- 尽管PMEG的复杂性更大,但它提供了与ZFEN移植相似的结果.
- 在血管患者中,PMEGs对于管理复杂的大动脉疾病至关重要.
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