在急性A型大动脉剖析修复过程中单个动脉管与双重动脉管:系统性审查和元分析
Obieda Altobaishat1, Omar Abdullah Bataineh1, Ahmed A Ibrahim2
1Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Journal of cardiothoracic and vascular anesthesia
|November 17, 2024
概括
针对急性A型大动脉解剖 (ATAAD) 修复的双动脉管 (DAC) 与单动脉管 (SAC) 在住院和重大并发症方面表现相似. 然而,DAC与更长的ICU停留和透析和再输管的风险增加有关.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 大动脉外科手术
背景情况:
- 急性甲动脉解剖A型 (ATAAD) 是一种危及生命的疾病,需要紧急手术修复.
- 在心肺旁路术期间的注射策略显著影响患者的结果.
结论:
- 在ATAAD修复过程中,DAC和SAC都显示了住院和重大术后并发症的可比结果.
- 随着DAC在ICU停留的时间稍长,这可能没有临床意义,但支持和再输管的风险增加需要仔细考虑.
- 管策略的选择应该是个性化的,以平衡每位接受ATAAD修复的患者的风险和益处.
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