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同时内血管大动脉修复扩大了对有敌对大动脉病理病理的患者的跨导管大动脉置换资格

Jeffrey Lu¹, Benjamin Zambetti¹, Joshua Plant¹

¹Division of Vascular Surgery, Department of Surgery, University of Maryland, Baltimore, MD, USA.

Vascular and endovascular surgery

|October 11, 2024

概括

同时的跨导管大动脉置换 (TAVR) 和血管内大动脉修复有效地治疗复杂大动脉疾病患者的症状大动脉狭窄,减少并发症和死亡率.

科学领域:

心血管外科心血管外科
干预心脏病学干预心脏病学
血管医学血管医学

背景情况:

过导管大动脉置换 (TAVR) 是适度至高风险患者症状性大动脉狭窄的主要治疗方法.
患者经常出现症状和敌对的大动脉病理,增加TAVR并发症风险.
现有的TAVR协议可能无法充分解决复杂的大动脉病理.

研究的目的:

为了评估同时TAVR和内血管大动脉修复 (EVAR) 对症状性大动脉狭窄的有效性.
评估这种联合方法在具有挑战性大动脉疾病的患者中的安全性和可行性.
为了探索患有广泛心血管并发症的患者同时接受TAVR和EVAR的结果.

主要方法:

在第三级护理医院进行的回顾性病例系列.
从2017年5月到2023年12月收集的数据.
对11名同时接受TAVR和EVAR治疗的患者进行分析.

主要成果:

11名患者接受了联合手术;82%的TAVR首先进行.
平均年龄为84岁;平均逗留时间为3天.
18%的人经历了需要重新干预的术后并发症;没有30天死亡率或重大心脏不良事件 (MACE).

结论:

同时使用TAVR和EVAR是一种有效的策略,用于管理具有敌对大动脉病理的高风险患者的症状性大动脉狭窄.
这种结合的方法,利用相同的访问网站,扩大了TAVR的资格.
对于患有严重心血管并发症的患者来说,该程序是可行的和安全的.

关键词:

埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.在TAVRR中,我们可以看到.腹部大动脉动脉瘤腹部大动脉动脉瘤大动脉狭窄症 (大动脉狭窄症)这是内血管内血管的内血管.这是一个多学科的多学科教育.

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