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Updated: Jul 19, 2026
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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在内血管动脉瘤修复后,用于非破裂的开放转换的逆皮管与横皮管方法
Sara Allievi1, Elisa Caron2, Vinamr Rastogi3
1Department of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; Section of Vascular Surgery, Cardio Thoracic Vascular Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Journal of vascular surgery
|September 19, 2024
概括
在内血管动脉瘤修复后 (EVAR) 进行开放转换的逆关节 (RP) 方法可能会减少术后并发症,如肠道缺血症和重新干预,与关节 (TP) 方法相比. 这表明,在可行的情况下,RP可能是首选的方法.
科学领域:
- 血管外科 血管外科
- 内血管外科 血管内血管外科
- 手术结果研究研究.
背景情况:
- 腹膜外皮 (TP) 和腹膜外皮 (RP) 的方法用于腹腔大动脉动脉瘤 (AAA) 修复有不同的结果.
- 只有有限的数据可以比较TP和RP方法,特别是在内血管动脉瘤修复后 (EVAR) 进行开放转换.
研究的目的:
- 评估外科手术方法 (TP与RP) 与EVAR后开放转换后的结果之间的关联.
- 为了比较两种方法之间的术后死亡率,并发症和长期死亡率.
主要方法:
- 来自血管质量倡议的EVAR (2010-2022) 后接受开放转换的660名患者的回顾性分析.
- 排除破裂病例;主要结局:术后死亡率;次要结局:并发症和5年死亡率.
- 用于风险调整的反向概率权重和物流/Cox回归.
主要成果:
- 与TP相比,RP方法与肠道缺血和住院再干预的调整几率较低有关.
- 在RP和TP方法之间没有明显的外科期死亡率或5年死亡率差异.
- 高容量医生和中心更频繁地使用RP方法,以及与关联的旁路病例.
结论:
- 在EVAR后的开放转换中,逆关节治疗方法可能会降低术后并发症的风险.
- 建议在可行的情况下考虑RP方法,以使EVAR转换有可能改善患者的治疗结果.
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