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在FET后的远端内血管延伸:在一个大批量单中心实验中的短期和中期结果

Salvatore Bruno¹, Daniel Becker², Carlota F Prendes³

¹University Aortic Centre Munich(LMU), LMU University Hospital, Munich, Germany; Department of Vascular Surgery, LMU University Hospital, Munich, Germany; Unit of Vascular Surgery, Integrated University Hospital and Trust of Verona, Verona, Italy.

Annals of vascular surgery

|October 19, 2024

概括

经过冷大象干 (FET) 修复后的远端内血管延伸是可行的和安全的,显示出高的技术成功. 然而,由于随着时间的推移持续的重新干预率,持续的监测至关重要.

科学领域:

心血管外科心血管外科
血管内主动脉修复血管内主动脉修复
胸前大动脉疾病胸前大动脉疾病

背景情况:

冷大象干 (FET) 程序是胸前大动脉病理的复杂干预.
在FET之后调查远端内血管延伸的结果对于患者管理至关重要.

研究的目的:

评估FET修复后远端内血管延伸的结果和结果.
为了比较动脉瘤和剖析患者组之间的结果.

主要方法:

一项回顾性研究包括29名患者,他们在FET后接受胸内血管大动脉修复 (TEVAR) 或胸腹修复 (TAA-EVAR).
患者被分为"动脉瘤"或"切割"组.
主要终点是技术成功和早期重新干预;次要终点包括生存率.

主要成果:

在初级TEVAR和二级TAA-EVAR扩展方面都取得了很高的技术成功.
没有观察到30天死亡率或重新干预.
36个月无需重新干预的自由率为72% (动脉瘤) 和64% (切割).
总体生存率很高 (91.7%和100%在36个月).

结论:

在FET后的远端内血管延伸是可行的,具有较低的外科手术风险.
虽然在技术上是成功的,但与大动脉相关的再干预仍然令人担忧.
建议在这些程序后对患者进行密切监测.

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