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内血管治疗与孤立的动脉动脉瘤的开放性手术修复相比

Eol Choi¹, Tae Won Kwon²

¹Division of Vascular Surgery, Department of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

Vascular specialist international

|September 27, 2024

概括

针对隔离的阴动脉动脉瘤 (IAA) 的开放性手术修复 (OSR) 和内血管治疗 (EVT) 显示出相似的生存率. EVT有更多的晚期并发症,这表明OSR可能更适合年轻,低风险的患者.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学

背景情况:

内血管治疗 (EVT) 是针对隔离的阴动脉动脉瘤 (IAA) 的.
人们对近期术后护理和外科手术技术的进步,以及对EVT的再干预率存在担忧.
本研究使用当代数据比较开放性手术修复 (OSR) 和EVT的结果.

研究的目的:

为了比较OSR与EVT对孤立IAA的结果.
评估手术时间,输血需要,住院时间,并发症和再干预率.
评估长期死亡率和动脉瘤相关的结果.

主要方法:

一个单中心的回顾性研究,对患有孤立退行性IAA的患者进行研究 (2007-2018).
包括58名患者:25名OSR,33名EVT.
随访时间中位数为75个月;主要结局包括并发症和保存的内动脉;次要结局包括死亡率和重新干预率.

主要成果:

在OSR和EVT之间,所有原因死亡率,动脉瘤相关死亡率或主要不良心血管事件没有显著差异.
晚期并发症 (囊扩张,血栓性阻塞) 在EVT组显著高 (15.2%对0%,P=0.04).
在EVT组中,重复干预率更高 (9.1%对4.0%),但在统计学上并不显著.

结论:

对于具有单独的IAA的轻度风险患者,EVT对OSR没有生存或重新干预的优势.
EVT与晚期并发症的风险增加有关.
在等待更大的随机试验之前,OSR可能被认为是年轻的轻度风险患者中孤立的IAA的第一线治疗.

关键词:

复杂化复杂化复杂化复杂化血管内脏手术血管内脏手术阴茎动脉瘤是什么意思?死亡率死亡率死亡率开放式手术是开放式手术.

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