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内脏动脉伪动脉瘤:跨动脉栓塞后临床成功的预测因素
Rémi Grange1, Vincent Habouzit2, Nicolas Stacoffe3
1Department of Radiology, University Hospital of Saint-Etienne, Saint-Etienne, France.
Quantitative imaging in medicine and surgery
|September 16, 2024
概括
超动脉栓塞 (TAE) 对内脏动脉伪动脉瘤 (VAPA) 有效. 低血红蛋白和胃肠道出血预测治疗失败,需要进一步的多中心调查.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 内脏动脉伪动脉瘤 (VAPA) 可能由各种原因引起,包括创伤,感染和恶性瘤.
- 对于VAPA的跨动脉栓塞 (TAE) 的临床成功因素在很大程度上仍未报告.
- 这项研究旨在阐明VAPA治疗TAE的患者表现,结果和成功预测因素.
研究的目的:
- 用TAE描述VAPA治疗VAPA的患者的临床表现和结果.
- 为了确定与VAPA的TAE后临床成功相关的因素.
主要方法:
- 在2012年至2023年期间,对89名为VAPA治疗TAE的患者进行了回顾性分析.
- 纳入标准集中在细胞干中VAPA,上层介质动脉和动脉.
- 评估手术前和手术前的数据,结果,并发症和死亡率.
主要成果:
- 在86.5%的患者 (77/89) 中获得了临床成功.
- 在单变量分析中,低血红蛋白水平 (P=0.027) 与临床成功有关.
- 高数量的红细胞输血和胃肠道出血与临床失败相关 (P=0.007,P=0.005).
结论:
- 低血红蛋白,红细胞输血增加和胃肠道出血与VAPA治疗TAE的临床失败有关.
- 需要进一步的多中心研究来验证这些发现并探索预测因素.
- TAE在VAPA管理方面取得了显著的临床成功.
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