感染性胸前大动脉疾病的内血管治疗结果
Hiroaki Kato1, Noriyuki Kato1, Takafumi Ouchi1
1Department of Radiology, Mie University Hospital, Tsu, Mie, Japan.
Journal of vascular and interventional radiology : JVIR
|October 20, 2024
概括
胸内血管大动脉修复 (TEVAR) 显示出治疗传染性大动脉疾病的前景. 然而,大气管前 (ABF) 具有更高的不良结果风险,表明需要在治疗规划中仔细考虑.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 血管内干预 血管内干预
背景情况:
- 传染性大动脉疾病在治疗中带来了重大挑战.
- 传统的开放性手术修复带来了较高的发病率和死亡率.
- 正在探索像TEVAR这样的最小侵入性选择.
研究的目的:
- 评估胸腔内血管大动脉修复 (TEVAR) 对感染性胸腔大动脉疾病的有效性和安全性.
- 评估TEVAR后的生存率和综合不良事件.
- 为了确定与较差的结果相关的特定传染病理.
主要方法:
- 对28名接受TEVAR治疗的患者进行了回顾性研究,以治疗感染的胸前动脉动脉瘤,胸前动脉 (ABF) 或腹腔动脉.
- 2011年12月至2022年10月期间从四个机构收集的数据.
- 主要结局:整体存活率. 二级结局:综合性不良事件 (死亡,大动脉事件,传染事件).
主要成果:
- 整体1年和5年生存率分别为85.7%和67.9%.
- 在1年和5年内,与动脉相关的无并发症生存率分别为64.3%和42.9%.
- 动脉支气管 (ABF) 与增加的综合性不良事件 (OR=11,P=.038) 有意义地相关.
结论:
- 泰瓦尔似乎是感染性胸前大动脉疾病的可行和有前途的治疗方法.
- 动脉支气管 (ABF) 是影响长期结果的关键因素.
- 进一步的研究是有必要的,以优化TEVAR策略复杂的传染性大动脉病理.
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