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大动脉与关动脉管用于半心门置换:单中心现实世界经验
Cigdem Tel Ustunisik1, Lara Yagci2, Berk Arapi1
1Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, 34098, Turkey.
BMC cardiovascular disorders
|August 28, 2024
概括
轴心管管道和大动脉管道管道显示出类似的安全性和有效性为 hemiarch 置换手术. 这项研究发现,这两种手术方法之间的结果没有显著差异.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 血管外科 血管外科
背景情况:
- 大动脉门疾病是急性解剖的主要原因,通常需要进行手术替换.
- 传统的大动脉管保证了身体下部的输液,而管管则旨在实现最佳的大脑输液.
研究的目的:
- 为了比较一大动脉与尾管道管在尾管置换手术的结果.
- 专注于评估两种管方法之间的术后输液和生存率.
主要方法:
- 追溯分析91名接受骨置换手术的患者 (2007年2月 - 2016年10月).
- 患者分为大动脉管 (n=54) 和管管 (n=37) 组.
- 对手术前,手术内和手术后的参数进行分析,包括人口统计,手术结果和并发症.
主要成果:
- 轴心组的上升大动脉直径更大,急性剖析的患病率更高.
- 大脑保护方法和患者体温在各组之间有显著差异.
- 在手术死亡率或住院结果方面没有显著差异;然而,关组中脏并发症更为频繁.
结论:
- 在关和大动脉管之间没有发现安全性和疗效的显著差异,用于 Hemiarch 置换.
- 两种方法都显示出相似的整体生存率,尽管具体并发症的差异不同.
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